Individual
LISA MARIE GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
12073-B TECH ROAD, SILVER SPRING, MD 20904
(301) 593-1315
Mailing address
12073-B TECH ROAD, SILVER SPRING, MD 20904
(301) 593-1315
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0004354
MD
363A00000X
Physician Assistant
TL#508
WY
Other
Enumeration date
06/19/2007
Last updated
05/21/2013
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