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Individual

LISA A BROOME

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
16 N LA PLATA CT, LA PLATA, MD 20646-4283
(301) 392-3330
Mailing address
16 N LA PLATA CT, P.O. BOX 2188, LA PLATA, MD 20646-4283
(301) 392-3330

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0002687
MD

Other

Enumeration date
04/26/2007
Last updated
01/03/2012
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