Individual
MRS. LISA MARIE ROSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
511 IDLEWILD AVE, EASTON, MD 21601-3825
(410) 822-6005
(410) 822-9253
Mailing address
511 IDLEWILD AVE, EASTON, MD 21601-3825
(410) 822-6005
(410) 822-9253
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R126043
MD
Other
Enumeration date
05/16/2006
Last updated
07/14/2010
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