Individual
LISA C STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1590
(410) 328-7877
(410) 328-1048
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-8040
(443) 462-3514
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R187264
MD
Other
Enumeration date
05/21/2020
Last updated
07/27/2020
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