Lisa Labianca, LLP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301012254 Issued in MI

Practice address

4905 Del Ray Ave Ste 301
Bethesda, MD 20814-2558

Phone

(240) 752-7650

NPI assigned

Oct 18, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Lisa Good Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1346791050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23262 COBB WOODS LN",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201487490",
            "telephone_number": "269-757-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 DEL RAY AVE STE 301",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142558",
            "telephone_number": "240-752-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABIANCA",
        "first_name": "LISA",
        "credential": "LLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301012254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "GOOD",
            "credential": "LLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Peter S Kwon, D.D.S.
• Somin Kwon, MD
• Christina Jinyung Kwun, PHARM.D.
• Christina Lorraine La Croix, D.O.
• Michael Allen Labbe, LCPC
• Desiree Ashlee Labor, FNP-BC
• Julia Katherine Labovsky, M.D.
• Joel Clayton Labow, M.D.
• Timothy Enrique Labrada, DO
• Ann Labriola, MD

• Psychologist in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.