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

Lisa A Bodine, PA-C

Individual provider Physician Assistant · NPI 1386084572

Lisa A Bodine, PA-C is a Physician Assistant in Washington, District of Columbia. Licensed in District of Columbia, Georgia, North Carolina and Virginia. Registered with an NPI since 2013.

Licensed in
DC, GA, NC, VA
In the registry since
2013
Specialties on file
4
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1350 Connecticut Ave NW Ste 1250
Washington, DC 20036-1728
Phone: (202) 627-1901
Fax: (415) 252-7176
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA031171 (DC)
Physician Assistant Taxonomy 363A00000X · Licence 0110004298 (VA)
Physician Assistant Taxonomy 363A00000X · Licence 11108 (GA)
Physician Assistant Taxonomy 363A00000X · Licence 0010-12147 (NC)

Record details

NPI number1386084572
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 2, 2013
Last updated in NPPESMarch 17, 2025
Certification dateMarch 17, 2025

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