Anderson, Lisa L.

Anderson, Lisa L. is an individual health care provider with primary practice located at 200 St. Claire Place Suite 150, Stevensville MD 21666. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Anderson, Lisa L. can be contacted via phone (410) 643-3795.

Contact Information

Primary practice address
200 St. Claire Place Suite 150 Stevensville MD 21666
Phone: (410) 643-3795
Fax: (410) 643-3797
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X D0065976 Maryland

Profile Details

NPI number 1134136393
LBN Legal business name Anderson, Lisa L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Feb 28th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134136393 NPPES
Maryland MEDICAID 023155000
Maryland MEDICAID 1045993

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