Organization
LISA KEITHLEY MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA KEITHLEY MD (OWNER)
(443) 926-2631
Entity
Organization
Contact information
Practice address
8186 LARK BROWN RD STE 203, ELKRIDGE, MD 21075-6434
(410) 799-8931
Mailing address
8186 LARK BROWN RD STE 203, ELKRIDGE, MD 21075-6434
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/13/2023
Last updated
01/11/2024
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