Lisa Renfro Md Pa

NPI 1245355999 - Physician Assistant - 363AM0700X

NPI Details
NPI 1245355999
Enumeration Date 03/20/2007
Last Updated 10/16/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LISA J LISA
Position OWNER PHYSICIAN
Phone (410) 224-2260
Fax (410) 224-3090
Practice Location
2002 MEDICAL PKWY
SUITE 630
ANNAPOLIS MD, 21401-3046, US
Phone (410) 224-2260
Fax (410) 224-3090
Business Location
2002 MEDICAL PKWY
SUITE 630
ANNAPOLIS MD, 21401-3046, US
Phone (410) 224-2260
Fax (410) 224-3090
Toxanomy
Taxonomy Code 363AM0700X
License State Maryland
License Number C0002046
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According to our database, Lisa Renfro Md Pa NPI is 1245355999, taxonomy code is 363AM0700X and license number is C0002046, license state is located at Maryland. Lisa Renfro Md Pa physically located at 2002 Medical Pkwy, Annapolis MD, 21401-3046. NPI Number 1033115704 has the healthcare provider type.

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1245355999 NPI number is provided on an as is basis without warranty of any kind. 1245355999 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Renfro Md Pa are for informational purposes only.