Individual
LISA MARIE LUSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29520 CANVASBACK DR, EASTON, MD 21601-7124
(410) 822-5007
Mailing address
29520 CANVASBACK DR, EASTON, MD 21601-7124
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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