Healthcare Provider Details

I. General information

NPI: 1851433056
Provider Name (Legal Business Name): LISA GLAUSER KAPLOWITZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 07/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4480 KING ST
ALEXANDRIA VA
22302-1300
US

IV. Provider business mailing address

4480 KING ST
ALEXANDRIA VA
22302-1300
US

V. Phone/Fax

Practice location:
  • Phone: 703-838-4872
  • Fax: 703-838-4038
Mailing address:
  • Phone: 703-838-4872
  • Fax: 703-838-4038

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number0101034321
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: