Organization
SLEEPWATCHERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA LACIVITA CRNA (PRESIDENT)
(443) 621-8736
Entity
Organization
Contact information
Practice address
THE PLASTIC SURGERY CENTER OF MARYLAND, 1304 BELLONA AVENUE, LUTHERVILLE, MD 21093
(410) 616-3000
(410) 616-2999
Mailing address
600 ANDREW HILL ROAD, ARNOLD, MD 21012
(443) 621-8736
(410) 616-2999
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
R069690
MD
Other
Enumeration date
11/16/2006
Last updated
08/22/2020
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