institution
Lisa Renfro Md Pa
Medical Physician Assistant in Annapolis, Maryland
NPI 1245355999

Lisa Renfro Md Pa is a Medical Physician Assistant based in Annapolis, MD and is specialized in Medical. Lisa Renfro Md Pa practices in Annapolis, MD. The NPI Number for Lisa Renfro Md Pa is 1245355999 and holds a License No. C0002046 (Maryland).

The current practice location address for Lisa Renfro Md Pa is 2002 Medical Pkwy, Annapolis, MD and can be reached out via phone at 410-224-2260 and via fax at 410-224-3090.

Location: 2002 Medical Pkwy, Annapolis, MD, 21401-3046
institution
Provider Profile Details
NPI Number
1245355999
Provider Name
Lisa Renfro Md Pa
Credential
Provider Entity Type
Organization
Address
2002 Medical Pkwy, Annapolis, MD, 21401-3046
Phone Number
410-224-2260
Fax Number
410-224-3090
Provider Enumeration Date
03/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1780772707 01 NPI
1568545515 01 NPI
1306820626 01 NPI
institution
Provider Business Practice Location Address Details
Address
2002 Medical Pkwy
City
State
Zip
21401-3046
Phone Number
410-224-2260
Fax Number
410-224-3090
person
Provider Business Mailing Address Details
Address
2002 Medical Pkwy
City
State
Zip
21401-3046
Phone Number
410-224-2260
Fax Number
410-224-3090
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
C0002046 (Maryland)
Definition
Definition to come...
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