Individual
MRS. LISA SAMANTHA HOUSEN WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
610 E DIAMOND AVE, SUITE 300, GAITHERSBURG, MD 20877-5321
(240) 790-3334
(301) 820-7479
Mailing address
2101 E JEFFERSON ST, ROCKVILLE, MD 20852-4908
(301) 816-6660
(301) 816-6308
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R131339
MD
Other
Enumeration date
05/24/2007
Last updated
09/22/2016
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