Lisa McKean
Nurse Practitioner, Family in Vienna, VA. Individual provider (NPI-1).
NPI number1548071723
StatusActive
Last updated in NPPESJan 24, 2025
Details
- NPI
- 1548071723
- Entity type
- Individual (NPI-1)
- Name
- Lisa McKean
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 16, 2025
- Certification date
- Jan 24, 2025
- Last updated
- Jan 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 0024192270 | VA | Yes |
Practice location
8130 Boone Blvd Ste 340Vienna, VA 22182-2640
Phone 703-734-2222
Mailing address
8130 Boone Blvd Ste 340Vienna, VA 22182-2640
Phone 571-221-0408
Other practice locations
1701 N George Mason Dr
Arlington, VA 22205-3610
Arlington, VA 22205-3610
Phone 703-558-7555
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