Individual
LISA BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
412 MALCOLM DR, WESTMINSTER, MD 21157-6115
(410) 751-8800
Mailing address
331 MOORES BRANCH CIR, WESTMINSTER, MD 21158-2000
(315) 244-0457
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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