Individual
LISA PODLESNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
9730 HEALTHWAY DRIVE, WORCESTER COUNTY HEALTH DEPARTMENT - BERLIN HEALTH CT., BERLIN, MD 21811
(410) 629-0164
(410) 629-0185
Mailing address
509 SUNLIGHT LN UNIT 6, BERLIN, MD 21811-1482
(410) 594-8242
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
R168158
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
705371101
—
MD
Enumeration date
03/25/2010
Last updated
03/25/2010
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