Individual
LISA ANTOINETTE HORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7310 RITCHIE HWY, SUITE 516, GLEN BURNIE, MD 21061-3065
(410) 761-7305
(410) 761-7387
Mailing address
9426 DARTMOUTH RD, COLUMBIA, MD 21045-1809
(410) 740-1314
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D31987
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38153
—
MD
Enumeration date
02/11/2006
Last updated
08/05/2011
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