Provider Demographics
NPI:1316259880
Name:MARKOWITZ, LISA GAYLE (FNP)
Entity type:Individual
Prefix:MRS
First Name:LISA
Middle Name:GAYLE
Last Name:MARKOWITZ
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 CIRCLE VIEW RD
Mailing Address - Street 2:
Mailing Address - City:LURAY
Mailing Address - State:VA
Mailing Address - Zip Code:22835-3932
Mailing Address - Country:US
Mailing Address - Phone:540-743-4410
Mailing Address - Fax:
Practice Address - Street 1:10 BAKER STREET
Practice Address - Street 2:LORD FAIRFAX HEALTH DISTRICT
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601
Practice Address - Country:US
Practice Address - Phone:540-722-3470
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-12
Last Update Date:2016-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024168870363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily