Individual
LISA MARIE PIASTRELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1838 GREENE TREE RD STE 135, PIKESVILLE, MD 21208-7108
(443) 471-0472
(410) 584-1882
Mailing address
515 FAIRMOUNT AVE STE 400, TOWSON, MD 21286-8518
(443) 471-0472
(410) 584-1882
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0001004
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
444181800
—
MD
Enumeration date
05/01/2006
Last updated
12/04/2020
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