Lisa M Clement Defalco (NPI# 1053711044, PAC ID# 6204158462) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1053711044 |
| PAC ID by PECOS | 6204158462 |
| Professional Enrollment ID | I20141125002506 |
| Full Name | Lisa M Clement Defalco |
| Organization Legal Name | NORTHWESTERN COMMUNITY SERVICES BOARD |
| Address |
158 Front Royal Pike Suite 200 Winchester VA 22602-4324 |
| Phone Number | 5406678888 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2769371251 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 800 5th St, Lynchburg, VA 24504-2848 | 4342003366 | COMMUNITY ACCESS NETWORK |
| 158 Front Royal Pike, Suite 200, Winchester, VA 22602-4324 | 5406678888 | NORTHWESTERN COMMUNITY SERVICES BOARD |
| Organization Legal Name | NORTHWESTERN COMMUNITY SERVICES BOARD |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lacy J Jordan White | Clinical Social Worker | Northwestern Community Services Board | 209 W Criser Rd, Suite 100, Front Royal, VA 22630-2360 |
| Elizabeth A Sampson | Nurse Practitioner | Northwestern Community Services Board | 494 N Main St, Suite 300, Woodstock, VA 22664-1703 |
| Lakuma R Mogili | Psychiatry | Northwestern Community Services Board | 158 Front Royal Pike, Suite 200, Winchester, VA 22602-4324 |
| Sue St Clair | Nurse Practitioner | Northwestern Community Services Board | 158 Front Royal Pike, Suite 200, Winchester, VA 22602-4324 |
| Marian O Newton | Nurse Practitioner | Northwestern Community Services Board | 209 W Criser Rd, Suite 100, Front Royal, VA 22630-2360 |
| George Dupuy | Clinical Social Worker | Northwestern Community Services Board | 209 W Criser Rd, Suite 100, Front Royal, VA 22630-2360 |
| Swarna B Reddy | Psychiatry | Northwestern Community Services Board | 158 Front Royal Pike, Suite 200, Winchester, VA 22602-4324 |
| Charles Robert Goshen | Psychiatry | Northwestern Community Services Board | 209 W Criser Rd, Suite 100, Front Royal, VA 22630-2360 |
| Elizabeth C Trefzger | Psychiatry | Northwestern Community Services Board | 209 W Criser Rd, Suite 100, Front Royal, VA 22630-2360 |
| Michele M Moore | Certified Clinical Nurse Specialist (cns) | Northwestern Community Services Board | 209 W Criser Rd, Suite 100, Front Royal, VA 22630-2360 |
| Street Address |
158 FRONT ROYAL PIKE SUITE 200 |
| City | WINCHESTER |
| State | VA |
| Zip | 22602-4324 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lakuma R Mogili | Psychiatry | Northwestern Community Services Board | 158 Front Royal Pike, Suite 200, Winchester, VA 22602-4324 |
| Sue St Clair | Nurse Practitioner | Northwestern Community Services Board | 158 Front Royal Pike, Suite 200, Winchester, VA 22602-4324 |
| Alla Y Golovkina-hynes | Ophthalmology | Eye Care Physicians and Surgeons PC | 158 Front Royal Pike, Suite 303, Winchester, VA 22602-4324 |
| Swarna B Reddy | Psychiatry | Northwestern Community Services Board | 158 Front Royal Pike, Suite 200, Winchester, VA 22602-4324 |
| Ayman A Abdelbakey | Psychiatry | Northwestern Community Services Board | 158 Front Royal Pike, Suite 200, Winchester, VA 22602-4324 |
| Patricia L Gray | Clinical Social Worker | Northwestern Community Services Board | 158 Front Royal Pike, Suite 200, Winchester, VA 22602-4324 |
| Don Lee | Psychiatry | Northwestern Community Services Board | 158 Front Royal Pike, Suite 200, Winchester, VA 22602-4324 |
| Mildred L Martin | Nurse Practitioner | Northwestern Community Services Board | 158 Front Royal Pike, Suite 200, Winchester, VA 22602-4324 |
| Nancy C Rosenblatt | Psychiatry | Northwestern Community Services Board | 158 Front Royal Pike, Suite 200, Winchester, VA 22602-4324 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Garrett M Sanders | Physical Therapy | 230 Costello Dr, Suite 1, Winchester, VA 22602-4310 | |
| Laura Nelson Lawson | Family Medicine | 230 Costello Dr, Suite 210, Winchester, VA 22602-4686 | |
| Dawnya R Finerfrock | Nurse Practitioner | Boden Health System LLC | 125 Prosperity Dr, Suite 500, Winchester, VA 22602-5361 |
| Jordan Le Tran | Family Medicine | Boden Health System LLC | 125 Prosperity Dr, Suite 500, Winchester, VA 22602-5361 |
| Matthew A Shiffler | Physical Therapy | 125 Prosperity Dr, Suite 700, Winchester, VA 22602-5363 | |
| Jamie C Simmers | Optometry | 125 Prosperity Dr, Suite 400, Winchester, VA 22602-5386 | |
| Abel C Borromeo | Chiropractic | 125 Prosperity Dr, Suite 600, Winchester, VA 22602-5387 | |
| Brian A Sullivan | Chiropractic | 101 Blossom Dr, Winchester, VA 22602-6100 |
| City | WINCHESTER |
| Zip Code | 22602 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WINCHESTER + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Lisa M Clement Defalco.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.