Individual
DR. ANDREW LANE LISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
10901 CONNECTICUT AVE, SUITE 200, KENSINGTON, MD 20895-1645
(301) 949-2000
(301) 949-2002
Mailing address
1600 E GUDE DR, SUITE 200, ROCKVILLE, MD 20850-1341
(301) 933-7133
(301) 933-7137
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
4326
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
602278200
—
MD
Enumeration date
10/03/2006
Last updated
11/28/2018
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