Organization
LISA K FEULNER MD PHD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA K FEULNER MD PHD (PRESIDENT)
(410) 569-7173
Entity
Organization
Contact information
Practice address
104 PLUMTREE RD STE 107, BEL AIR, MD 21015-6095
(410) 569-7173
(410) 569-7123
Mailing address
104 PLUMTREE RD STE 107, BEL AIR, MD 21015-6095
(410) 569-7173
(410) 569-7123
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0055167
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1974041
—
MD
Enumeration date
01/04/2007
Last updated
05/04/2018
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