Organization
STAAB MEDISPA AND HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA STAAB CRNP (NURSE PRACTITIONER)
(443) 338-0050
Entity
Organization
Contact information
Practice address
541 CHESTNUT HILL RD, FOREST HILL, MD 21050-1720
(443) 338-0050
Mailing address
541 CHESTNUT HILL RD, FOREST HILL, MD 21050-1720
(443) 338-0050
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/21/2026
Last updated
04/21/2026
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