NPI 1770570756 · live from the CMS NPI Registry
Lisa A Bukovac, D.O.
Obstetrics & Gynecology, Gynecology in Winchester, VA. National Provider Identifier 1770570756, active.
NPI record
| NPI | 1770570756 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Obstetrics & Gynecology, Gynecology 207VG0400X |
| Practice location | 1840 Amherst St, Winchester, VA 22601 |
| Practice phone | 540-536-8000 |
| Mailing address | 777 Lowndes Hill Rd Bldg 1, Greenville, SC 29607 |
| Enumerated | October 4, 2005 |
| Last updated | January 15, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology, Gynecology primary | 207VG0400X | 0102201718 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.