Individual
LISA MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
100 BRAMBLE ST, CAMBRIDGE, MD 21613-2471
(410) 228-4616
Mailing address
100 BRAMBLE ST, CAMBRIDGE, MD 21613-2471
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R174127
MD
Other
Enumeration date
09/24/2012
Last updated
09/24/2012
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