Individual
LISA MARIE PISHOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPCP
Contact information
Practice address
3138 ROGERS AVE, ELLICOTT CITY, MD 21043-3320
(410) 203-1564
Mailing address
3138 ROGERS AVE, ELLICOTT CITY, MD 21043-3320
(410) 203-1564
Taxonomy
Speciality
Code
Description
License number
State
246ZA2600X
Medical Art Specialist/Technologist
Primary
NO LICENSING
MD
Other
Enumeration date
12/28/2016
Last updated
12/28/2016
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