Pediatrics, Adolescent Medicine
Dr. LISA PARK MD
Identity confirmed via CMS NPPES · September 29, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1699982868 · enumerated 2007-05-17 · record updated 2012-01-11. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 4400 UNIVERSITY DR, STUDENT UNION BUILDING 1, ROOM 2300, FAIRFAX, VA, 22030-4422 (703) 993-2831 Fax (703) 993-4365 Google Maps Apple Maps OpenStreetMap
- Practice location 4400 UNIVERSITY DR, STUDENT UNION BUILDING 1, ROOM 2300, FAIRFAX, VA, 22030-4422 (703) 993-2831 Fax (703) 993-4365 Google Maps Apple Maps OpenStreetMap
Specialties
- Pediatrics, Adolescent Medicine 2080A0000X · Primary · License 0101250887 VA
- Pediatrics, Adolescent Medicine 2080A0000X · License 25MA08646300 NJ
In this directory
Locations and evidence
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Practice location
FAIRFAX, VA, 220304422
Accepting new patientsNot reportedCMS NPPES · September 29, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.