Kirk, Lisa M

Kirk, Lisa M is an individual health care provider with primary practice located at 102 Heritage Way Ne Ste 302 , Leesburg VA 20176-4544. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Kirk, Lisa M can be contacted via phone (703) 771-5100.

Contact Information

Primary practice address
102 Heritage Way Ne Ste 302 Leesburg VA 20176-4544
Phone: (703) 771-5100
Fax: (703) 777-0170
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1699707802
LBN Legal business name Kirk, Lisa M
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Jul 8th, 2007 - about 17 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.

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