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

Lisa Mack, MD

Individual provider Emergency Medicine Physician · NPI 1366982852

Lisa Mack, MD is an Emergency Medicine in Fort Belvoir, Virginia. Graduated from Columbia University College of Physicians and Surgeons in 2017, 9 years ago. Licensed in Virginia.

Years since qualifying
9
Trained at
Columbia University College of Physicians and Surgeons
Licensed in
VA
In the registry since
2017
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

9300 Dewitt Loop
Fort Belvoir, VA 22060-5285
Phone: (571) 231-3162
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 0101270275 (VA)

Record details

NPI number1366982852
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 2, 2017
Last updated in NPPESJuly 10, 2024
Certification dateJuly 10, 2024
Mailing address9300 Dewitt Loop, Fort Belvoir, VA 22060-5285

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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