| Doctor Name: | DR. LISA ANN IRVINE |
| NPI Number: | 1609975952 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. PH.D. F.A.A.P. |
| License Number: | 0101233858 |
| Business Practice Address: | 17341 Pickwick Dr Suite A Purcellville, VA - 201326177 |
| Business Phone Number: | 5403383320 |
| Business Fax Number: | 5403382280 |
| Mailing Address: | 19152 Coton Reserve Dr, LEESBURG |
| State: | VA |
| Postal Code: | 201761662 |
| Phone Number: | 5403383320 |
| Fax Number: | 5403382280 |
| NPI Enumeration Date: | 09/22/2006 |
| NPI Last Update Date: | 06/19/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208000000X |
| License Number: | 0101233858 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Pediatrics |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |