Healthcare Provider Details

I. General information

NPI: 1033279708
Provider Name (Legal Business Name): LISA WARSINGER MARTIN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LISA RENEE WARSINGER

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 06/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 PENNSYLVANIA AVE NW # 4-415 GEORGE WASHINGTON UNIV, CARDIOLOGY
WASHINGTON DC
20037-3201
US

IV. Provider business mailing address

2150 PENNSYLVANIA AVE NW # 4-415 GEORGE WASHINGTON UNIV, CARDIOLOGY
WASHINGTON DC
20037-3201
US

V. Phone/Fax

Practice location:
  • Phone: 202-741-2323
  • Fax: 202-741-2324
Mailing address:
  • Phone: 202-741-2323
  • Fax: 202-741-2324

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD15396
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: