Individual
LISA GUAY-WOODFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(301) 572-1323
Mailing address
PO BOX 37215, BALTIMORE, MD 21297-3215
(301) 572-1323
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
MD040571
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000024257
—
AL
05
—
02787353
—
MS
01
—
051024257
BLUE CROSS
AL
01
—
390002768
RAILROAD MEDICARE
AL
Enumeration date
08/07/2006
Last updated
10/25/2012
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