Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Lisa L Park, MD

Individual provider Pediatric Adolescent Medicine Physician · NPI 1699982868

Dr. Lisa L Park, MD is a Pediatric Adolescent Medicine Physician in Fairfax, Virginia. Licensed in New Jersey and Virginia. Registered with an NPI since 2007.

Licensed in
NJ, VA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4400 University Dr Student Un Bldg 1 Rm 2300
Fairfax, VA 22030-4422
Phone: (703) 993-2831
Fax: (703) 993-4365
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X · Licence 0101250887 (VA)
Pediatric Adolescent Medicine Physician Taxonomy 2080A0000X · Licence 25MA08646300 (NJ)

Record details

NPI number1699982868
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 17, 2007
Last updated in NPPESJanuary 11, 2012

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