Individual
LIESL MARIE BUSKIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7226 LEE DEFOREST DR STE 204, COLUMBIA, MD 21046-3238
(443) 333-5233
(443) 333-5232
Mailing address
8316 CARRBRIDGE CIR, TOWSON, MD 21204-1812
(801) 310-1155
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/20/2023
Last updated
09/15/2024
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