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Individual

LEA MARIE BARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
600 GLEN AVE, SALISBURY, MD 21804-5255
(410) 543-9111
(410) 543-9115
Mailing address
8110 MAPLE LAWN BLVD STE 235, FULTON, MD 20759-2694
(301) 340-8339
(301) 340-9027

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C0007855
STATE LICENSE
MD
Enumeration date
11/29/2020
Last updated
09/15/2023
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