| Doctor Name: | MS. LISA A DUGGAN |
| NPI Number: | 1093789364 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 0110002252 |
| Business Practice Address: | 16463 Dahlgren Rd Dahlgren, VA - 22448 |
| Business Phone Number: | 5406449505 |
| Business Fax Number: | 5406449508 |
| Mailing Address: | Po Box 1460, FREDERICKSBURG |
| State: | VA |
| Postal Code: | 224021460 |
| Phone Number: | 5407862100 |
| Fax Number: | 5407860677 |
| NPI Enumeration Date: | 02/14/2006 |
| NPI Last Update Date: | 10/03/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 0110002252 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |