Individual
LISA RENFRO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2002 MEDICAL PKWY, SUITE 630, ANNAPOLIS, MD 21401-3046
(410) 224-2260
(410) 224-3090
Mailing address
2002 MEDICAL PKWY, SUITE 630, ANNAPOLIS, MD 21401-3046
(410) 224-2260
(410) 224-3090
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
M35991
MD
207NS0135X
Procedural Dermatology Physician
Primary
M35991
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4909
BC/BS NATIONAL CAPITAL
DC
01
—
LR75
BC/BS OF MD
MD
Enumeration date
11/30/2005
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us