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

Miss. Lucrisha M Banford, PA

Individual provider Medical Physician Assistant · NPI 1497888697

Miss. Lucrisha M Banford, PA is a Physician Assistant in Fairfax, Virginia. Qualified in 2003, 23 years ago. Practices with Advanced Dermatology of Virginia Inc, a 26-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
23
Licensed in
VA
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3700 Joseph Siewick Dr Ste 403
Fairfax, VA 22033-1744
Phone: (703) 648-2488
Fax: (703) 648-2489
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 0110002011 (VA)

Record details

NPI number1497888697
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 14, 2007
Last updated in NPPESMay 20, 2011

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Advanced Dermatology Of Virginia Inc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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