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Individual

MS. LINA MICHELLE WEBER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1501 S CLINTON ST, BALTIMORE, MD 21224-5730
(866) 763-2211
Mailing address
1 LIBERTY PLZ STE 301, NEW YORK, NY 10006-1404
(917) 261-4414

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
022246
NY
363A00000X
Physician Assistant
C0006884
MD
363A00000X
Physician Assistant
PA9117538
FL
363AM0700X
Medical Physician Assistant
022246
NY
363AS0400X
Surgical Physician Assistant
022246
NY

Other

Enumeration date
07/17/2018
Last updated
07/13/2023
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