Individual
LISA SMIRNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1380 PROGRESS WAY, SUITE112, ELDERSBURG, MD 21784-6464
(410) 549-2000
Mailing address
1380 PROGRESS WAY, SUITE112, ELDERSBURG, MD 21784-6464
(410) 549-2000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H0037356
MD
Other
Enumeration date
06/04/2006
Last updated
01/11/2008
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