Individual
LISA ELIZABETH BRAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
3290 N RIDGE ROAD SUITE 125, ELLICOTT CITY, MD 21043-6017
(410) 696-2890
(410) 696-2886
Mailing address
3290 N RIDGE ROAD SUITE 125, ELLICOTT CITY, MD 21043-3656
(410) 696-2890
(410) 696-2886
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
01253
MD
Other
Enumeration date
06/19/2012
Last updated
03/16/2018
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