LISA A BODINE PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1386084572- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 1350 CONNECTICUT AVE NW STE 1250, WASHINGTON, DC, 200361728
- Phone
- (202) 627-1901
- Fax
- (415) 252-7176
Specialties & Taxonomies
Physician Assistant
License: VA #0110004298
Physician Assistant
License: GA #11108
Physician Assistant
License: NC #0010-12147
Physician Assistant
Primary License: DC #PA031171