Individual
CAROLINE LISK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3338 HOLLOW CT, ELLICOTT CITY, MD 21043-3485
(443) 367-1278
Mailing address
3338 HOLLOW CT, ELLICOTT CITY, MD 21043-3485
(443) 367-1278
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
125149
MD
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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