Individual
LISA M QUARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5401 OLD COURT ROAD, NORTHWEST HOSPITAL, RANDALLSTOWN, MD 21133
(410) 521-5950
Mailing address
5236 KINGSBROOK DRIVE, FREDERICK, MD 21703
(301) 696-1389
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0002523
MD
Other
Enumeration date
06/21/2006
Last updated
02/19/2013
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