Provider Demographics
NPI:1174675201
Name:TURTZO, LISA CHRISTINE (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:CHRISTINE
Last Name:TURTZO
Suffix:
Gender:F
Credentials:MD, PHD
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Mailing Address - Street 1:10 CENTER DRIVE
Mailing Address - Street 2:NIH, BUILDING 10 ROOM B10733 MSC 1063
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814
Mailing Address - Country:US
Mailing Address - Phone:301-435-7659
Mailing Address - Fax:860-679-1181
Practice Address - Street 1:10 CENTER DRIVE
Practice Address - Street 2:NIH CLINICAL CENTER
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814
Practice Address - Country:US
Practice Address - Phone:860-679-8939
Practice Address - Fax:860-679-1181
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2015-06-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDP179562084N0400X
MDD00707172084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology