Individual provider · Type 1 NPI

Lisa Dang Larose, MD

Diagnostic Radiology Physician · Jb Andrews, MD

NPI number 1285933838 Active

Practice location

1060 W Perimeter Rd
Jb Andrews, MD 20762-6602

Fax (240) 612-3880

Mailing address

Malcolm Grow Medical Clinics And Surgery Center, 1060 W. Perimeter Rd
Jb Andrews, MD 20762

Other practice locations

  • 3404 Tennessee Dr, Alexandria, VA 22303-1225 · (301) 980-4337

Specialties and licenses

TaxonomyCodeLicense
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X0101254304 (VA)
General Practice Physician 208D00000X0101254304 (VA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Diagnostic Radiology Physician Primary 2085R0202X0101254304 (VA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

147 other providers at this address

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About NPI 1285933838

Lisa Dang Larose, MD's National Provider Identifier is 1285933838, issued on Mar 22, 2011. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Jb Andrews, MD. The record was last updated on Aug 4, 2023.