Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 0101265892 | VA |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 01087073A | IN |
NPI | 1184874778 |
---|---|
Provider Name | Dr. Lisa E Simmonds |
First Address | Charlottesville, VA 22906-9007 |
Second Address | Charlottesville, VA 22908-1147 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2008 |
Last Update Date | 01/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1184874778 | (05) | VA |