Individual
MS. LISA MARIANE BRONAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
607 DUTCHMANS LN, EASTON, MD 21601-3345
(410) 822-9133
(410) 822-9513
Mailing address
219 S WASHINGTON ST, EASTON, MD 21601-2913
(410) 822-9133
(410) 822-9513
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R206308
MD
Other
Enumeration date
10/27/2016
Last updated
09/29/2018
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