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Individual

LISA ELAINE YACONO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
8930 STANFORD BLVD, COLUMBIA, MD 21045-5805
(443) 722-7190
Mailing address
7100 MORNING LIGHT TRL, COLUMBIA, MD 21044-4905
(410) 313-1788

Taxonomy

Speciality
Code
Description
License number
State
364SC1501X
Community Health/Public Health Clinical Nurse Specialist
Primary
R146136
MD

Other

Enumeration date
02/24/2023
Last updated
02/24/2023
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