Individual
MRS. LISA ANNE YAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
25500 POINT LOOKOUT RD, LEONARDTOWN, MD 20650-2015
(301) 475-6127
Mailing address
22164 HANOVER WOODS CT, LEONARDTOWN, MD 20650-4139
(301) 247-7477
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
R138974
MD
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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