Individual
MRS. LISA KEAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6080 FALLS RD, SUITE 204, BALTIMORE, MD 21209-2230
(410) 323-2757
(410) 323-2715
Mailing address
6080 FALLS RD, SUITE 204, BALTIMORE, MD 21209-2230
(410) 323-2757
(410) 323-2715
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D45515
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146391800
—
MD
Enumeration date
04/05/2006
Last updated
10/27/2009
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