Individual
LISA LAUMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
101 RIDGELY AVE, SUITE 10, ANNAPOLIS, MD 21401-1409
(410) 280-0962
Mailing address
305 SILVERQUEEN PATH, PASADENA, MD 21122-3846
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0005969
MD
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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