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Organization

LISA A. UHL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA UHL CRNP (OWNER, NURSE PRACTITIONER)
(410) 446-5635
Entity
Organization

Contact information

Practice address
3691 PARK AVE STE 9, ELLICOTT CITY, MD 21043-4783
(410) 446-5635
(410) 747-7475
Mailing address
2 PLATEAU CT, BALTIMORE, MD 21228-5383
(410) 446-5635
(410) 747-7475

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
R122521
MD

Other

Enumeration date
08/16/2018
Last updated
08/16/2018
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