Wiltrout, Lisa M
Wiltrout, Lisa M is an individual health care provider with primary practice located at 5 Garrett Ave Civista Medical Center, La Plata MD 20646-5960. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Wiltrout, Lisa M can be contacted via phone (301) 609-4000.Contact Information
Primary practice address
5 Garrett Ave Civista Medical Center
La Plata MD 20646-5960
Phone: (301) 609-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | D0057484 | Maryland |
Profile Details
| NPI number | 1306813134 |
|---|---|
| LBN Legal business name | Wiltrout, Lisa M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2006 |
| Last updated | Apr 21st, 2011 - about 14 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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