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Individual

MRS. LISA B. LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP-F

Contact information

Practice address
1201 SEVEN LOCKS RD, SUITE 111, ROCKVILLE, MD 20854-2931
(301) 762-5020
(301) 294-7569
Mailing address
PO BOX 79632, BALTIMORE, MD 21279-0632
(301) 762-5020
(301) 309-3783

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R089372
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DB9417
MEDICARE RAILROAD PALMETTO
MD
Enumeration date
05/13/2010
Last updated
02/05/2015
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