Individual Healthcare Provider
Lisa Dang Larose, M.D.
Provider's NPPES record last updated: August 4, 2023
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1285933838
- Primary Specialty
- Radiology — Diagnostic Radiology
- Practice Location
- Jb Andrews, Maryland
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 11:25 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Radiology
Diagnostic Radiology
Allopathic & Osteopathic Physicians
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Taxonomy code 2085R0202X Preventive Medicine
Preventive Medicine/Occupational Environmental Medicine
Allopathic & Osteopathic Physicians
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
Taxonomy code 2083P0500XGeneral Practice
Allopathic & Osteopathic Physicians
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Taxonomy code 208D00000XStudent in an Organized Health Care Education/Training Program
Student, Health Care
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Taxonomy code 390200000X
Provider-Reported License Information
- Radiology (Virginia)
- 0101254304
- Preventive Medicine (Virginia)
- 0101254304
- General Practice (Virginia)
- 0101254304
Practice Locations
Practice Location
1060 W Perimeter Rd
Jb Andrews, Maryland 20762-6602
Phone: (240) 612-2020
Additional Practice Location
3404 Tennessee Dr
Alexandria, Virginia 22303-1225
Phone: (301) 980-4337
Record Information
- Enumeration Date
- March 22, 2011
- Provider's NPPES Record Last Updated
- August 4, 2023
- Certification Date
- August 4, 2023
- NPISignal NPPES Dataset
- August 2026
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