Individual
FENG LISA WU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-5000
Mailing address
PO BOX 64382, BALTIMORE, MD 21264-4382
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
9834
VI
367500000X
Certified Registered Nurse Anesthetist
Primary
R077537
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400043900
—
MD
Enumeration date
05/31/2006
Last updated
05/24/2013
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