Individual
LISA L FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
301 SAINT PAUL PL, SURGICAL PA'S, BALTIMORE, MD 21202-2102
(410) 332-9265
Mailing address
PO BOX 64075, BALTIMORE, MD 21264-4075
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C0002649
MD
363AS0400X
Surgical Physician Assistant
Primary
C0002649
MD
Other
Enumeration date
06/30/2006
Last updated
03/01/2010
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