DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. LISA A IRVINE MD

MEDICARE: DR. LISA A IRVINE MD
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
1208000000XPediatrics Physician0101233858VA
2208000000XPediatrics PhysicianD0091856MD

General Provider Information

NPI Number : 1609975952
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LISA A IRVINE MD
Provider Business Mailing Address
First Line : PO BOX 749112
Second Line :
City : ATLANTA
State : GA
Zip : 30374-9112
Country : US
Telephone Number : 434-295-1000
Fax Number :
Provider Business Practice Location Address
First Line : 2325 SEMINOLE LN STE 110
Second Line :
City : CHARLOTTESVILLE
State : VA
Zip : 22901-8395
Country : US
Telephone Number : 434-340-0879
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2006
Last Update Date : 04/07/2026

Similar Medicare Providers

1538521307 — JOHN E CLORE MD
Practice Location Address:
2325 SEMINOLE LN STE 100
CHARLOTTESVILLE, VA
22901-8395
Practice Phone: 434-297-7700
Practice Fax:
1285152876 — MRS. JULIA M STARKS MSN, RN, CPNP-PC
Practice Location Address:
2325 SEMINOLE LN STE 100
CHARLOTTESVILLE, VA
22901-8395
Practice Phone: 434-297-7700
Practice Fax:
1588168827 — DR. SARAH T COHEN MD
Practice Location Address:
2325 SEMINOLE LN STE 100
CHARLOTTESVILLE, VA
22901-8395
Practice Phone: 434-297-7700
Practice Fax:
1093536690 — JULIANA A CANAS BAENA LCSW
Practice Location Address:
2325 SEMINOLE LN STE 100
CHARLOTTESVILLE, VA
22901-8395
Practice Phone: 434-297-7700
Practice Fax:
1144103334 — KATHERINE D LOHR PHD, LCP
Practice Location Address:
2325 SEMINOLE LN STE 100
CHARLOTTESVILLE, VA
22901-8395
Practice Phone: 434-297-7700
Practice Fax:
1366231938 — JULIA S OLKIN M.S., CCC-SLP
Practice Location Address:
3040 BERKMAR DR STE A1
CHARLOTTESVILLE, VA
22901-1593
Practice Phone: 434-979-8628
Practice Fax: 434-979-8536

Directions to “ DR. LISA A IRVINE MD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.