Individual
LISA G GALLUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA- C
Contact information
Practice address
15001 SHADY GROVE RD STE 300, ROCKVILLE, MD 20850-6353
(301) 340-3252
Mailing address
10770 COLUMBIA PIKE STE 400, SILVER SPRING, MD 20901-4462
(240) 485-5210
(301) 625-6906
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0002164
MD
Other
Enumeration date
07/18/2006
Last updated
01/03/2021
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