LISA DEGILIO NP NPI 1710985775

NPI Information

Lisa Degilio, NP is an adult health nurse practitioner in Fairfax, VA. Lisa Degilio, NP NPI is 1710985775. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13135 LEE JACKSON MEMORIAL HWY
135
FAIRFAX, VA
ZIP 22033-907
Phone: (703) 961-0488
Fax: (703) 961-0178

The NPI 1710985775 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/13/2005 and was last updated on 8/11/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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