Individual
LISA MARIE DESPRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAC, LAC
Contact information
Practice address
7340 GRACE DR STE A, COLUMBIA, MD 21044-3241
(443) 832-3269
Mailing address
3108 SPRING HOUSE CT, WOODBINE, MD 21797-7541
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U03065
MD
Other
Enumeration date
01/01/2024
Last updated
01/01/2024
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