Individual
DR. LISA ERIN POLKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
41680 MISS BESSIE DR 102, LEONARDTOWN, MD 20650-2963
(301) 997-1788
(301) 997-1791
Mailing address
41680 MISS BESSIE DR 102, LEONARDTOWN, MD 20650-2963
(301) 997-1788
(301) 997-1791
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D0055831
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000102300
—
MD
Enumeration date
03/24/2006
Last updated
09/24/2015
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