Andruscavage, Lisa Ann
Andruscavage, Lisa Ann is an individual health care provider with primary practice located at 1906 Belleview Ave Se , Roanoke VA 24014-1838. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Andruscavage, Lisa Ann can be contacted via phone (540) 981-7000.Contact Information
Primary practice address
1906 Belleview Ave Se
Roanoke VA 24014-1838
Phone: (540) 981-7000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 3808 | West Virginia |
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 0102201613 | Virginia |
Profile Details
| NPI number | 1154389757 |
|---|---|
| LBN Legal business name | Andruscavage, Lisa Ann |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | Dec 22nd, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154389757 | NPPES |
| Virginia | MEDICAID | 010079900 |
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