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Contact Information

LISA D LAROSE, MD
1060 W PERIMETER RD
ANDREWS, MD20762-6602
 Phone: 240-612-2020
 Fax: 240-612-3880
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Preventive Medicine/Occupational-Environmental Medicine

2083P0500X 84 Physician/Preventive Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for LISA D LAROSE · (Female)

NPI # 1285933838
Status Active
Credentials MD
Entity Individual
Enumeration date 03/22/2011
Last updated 08/04/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 0101254304
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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