Provider Demographics
NPI:1740263177
Name:MUASHER, LISA C (MD)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:C
Last Name:MUASHER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5213 S ALSTON AVE
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-4430
Mailing Address - Country:US
Mailing Address - Phone:919-684-8111
Mailing Address - Fax:919-620-4291
Practice Address - Street 1:2101 ERWIN ROAD
Practice Address - Street 2:CLINIC A
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-0001
Practice Address - Country:US
Practice Address - Phone:919-684-8111
Practice Address - Fax:919-620-4921
Is Sole Proprietor?:No
Enumeration Date:2005-11-21
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101054677207V00000X
NC2012-00021207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0703329OtherUNHC
297917OtherMDIPA OPTIMUM
3121905OtherAETNA HMO
34300008OtherBCBS OF DC
540894297OtherPHCS
5428771OtherAETNA
297917OtherALLIANCE
502422OtherNCPPO
540894297OtherMAILHANDLERS
540894297OtherGW ONE HEALTH
7650865002OtherCIGNA
383841OtherANTHEM
VA6210074Medicaid
VA6210074Medicaid
540894297OtherMAILHANDLERS
297917OtherMDIPA OPTIMUM