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NPI Code Detail

MEDICARE: MRS. LISA NICOLE SAUNDERS

MEDICARE: MRS. LISA NICOLE SAUNDERS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker0904019145VA

General Provider Information

NPI Number : 1043174642
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LISA NICOLE SAUNDERS
Provider Business Mailing Address
First Line : 4700 LAKEFIELD MEWS PL APT E
Second Line :
City : HENRICO
State : VA
Zip : 23231-4163
Country : US
Telephone Number : 804-819-4000
Fax Number :
Provider Business Practice Location Address
First Line : 107 S 5TH ST
Second Line :
City : RICHMOND
State : VA
Zip : 23219-3825
Country : US
Telephone Number : 804-819-4000
Fax Number : 804-819-5221
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2025
Last Update Date : 12/10/2025

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Directions to “ MRS. LISA NICOLE SAUNDERS ” Practice Location

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