Individual
DR. LISA MARIE FAULCON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
720 RUTLAND AVE, ROSS 1125, DEPT OF HEMATOLOGY, BALTIMORE, MD 21205-2109
(410) 955-6132
Mailing address
720 RUTLAND AVE, ROSS 1125, DEPT OF HEMATOLOGY, BALTIMORE, MD 21205-2109
(410) 955-6132
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
946665
MD
Other
Enumeration date
07/02/2007
Last updated
12/08/2011
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