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

Lisa Mickley, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1831777291

Lisa Mickley, MD is a Student in an Organized Health Care Education/Training Program in Chesapeake, Virginia. Licensed in Virginia. Registered with an NPI since 2021.

Licensed in
VA
In the registry since
2021
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

725 Volvo Pkwy Ste 102
Chesapeake, VA 23320-1621
Phone: (757) 842-4110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 0101282278 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1831777291
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 29, 2021
Last updated in NPPESJuly 8, 2024
Certification dateJuly 8, 2024
Mailing addressPo Box 7068, Portsmouth, VA 23707-0068

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