Individual
LISA LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3110 OLNEY SANDY SPRING RD, OLNEY, MD 20832-1408
(301) 774-6155
Mailing address
7118 INTREPID LN, GAITHERSBURG, MD 20879-5418
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21774
MD
Other
Enumeration date
06/25/2014
Last updated
06/25/2014
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