Horton, Lisa Antoinette
Horton, Lisa Antoinette is an sole proprietor health care provider with primary practice located at 7310 Ritchie Hwy Suite 516, Glen Burnie MD 21061-3065. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Horton, Lisa Antoinette can be contacted via phone (410) 761-7305.Contact Information
Primary practice address
7310 Ritchie Hwy Suite 516
Glen Burnie MD 21061-3065
Phone: (410) 761-7305
Fax: (410) 761-7387
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | D31987 | Maryland |
Profile Details
| NPI number | 1427021112 |
|---|---|
| LBN Legal business name | Horton, Lisa Antoinette |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 11th, 2006 |
| Last updated | Aug 5th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427021112 | NPPES |
| Maryland | MEDICAID | 38153 |
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