Individual
DR. LISA A GREISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
827 LINDEN AVE, BALTIMORE, MD 21201-4606
(410) 225-8369
(443) 552-2685
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-8040
(443) 462-3514
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
D60765
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037158200
—
DC
05
—
402760400
—
MD
01
—
620658-01
BLUE CROSS/BLUE SHIELD
MD
Enumeration date
05/15/2006
Last updated
06/03/2020
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