Individual
LISA M QUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9040 STEBBING WAY APT L, LAUREL, MD 20723-5947
(240) 280-4264
Mailing address
9040 STEBBING WAY APT L, LAUREL, MD 20723-5947
(240) 280-4264
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN1028383
DC
Other
Enumeration date
11/30/2012
Last updated
11/30/2012
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