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Organization

STAAB MEDISPA AND HEALTHCARE LLC

Active
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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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