Healthcare Provider Details

I. General information

NPI: 1497726079
Provider Name (Legal Business Name): LISA M. ALFORD M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2006
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6903 ROCKLEDGE DR STE 470
BETHESDA MD
20817-1957
US

IV. Provider business mailing address

6903 ROCKLEDGE DR STE 470
BETHESDA MD
20817-1957
US

V. Phone/Fax

Practice location:
  • Phone: 301-900-6334
  • Fax: 202-788-5554
Mailing address:
  • Phone: 301-900-6334
  • Fax: 202-788-5554

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberMD035787
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberD0042931
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: