institution
Lisa M Kim M D Inc
Primary Care Clinic/Center in Ellicott City, Maryland
NPI 1457660110

Lisa M Kim M D Inc is a Primary Care Clinic/Center based in Ellicott City, MD and is specialized in Primary Care. Lisa M Kim M D Inc practices in Ellicott City, MD. The NPI Number for Lisa M Kim M D Inc is 1457660110 and holds a License No. D52479 (Maryland).

The current practice location address for Lisa M Kim M D Inc is 3355 Rogers Ave, Ellicott City, MD and can be reached out via phone at 410-480-5195 and via fax at 410-480-5197.

Location: 3355 Rogers Ave, Ellicott City, MD, 21043-4105
institution
Provider Profile Details
NPI Number
1457660110
Provider Name
Lisa M Kim M D Inc
Credential
Provider Entity Type
Organization
Address
3355 Rogers Ave, Ellicott City, MD, 21043-4105
Phone Number
410-480-5195
Fax Number
410-480-5197
Provider Enumeration Date
09/29/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
346603500 05 MD
institution
Provider Business Practice Location Address Details
Address
3355 Rogers Ave
City
State
Zip
21043-4105
Phone Number
410-480-5195
Fax Number
410-480-5197
person
Provider Business Mailing Address Details
Address
3355 Rogers Ave
City
State
Zip
21043-4105
Phone Number
410-480-5195
Fax Number
410-480-5197
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
D52479 (Maryland)
Definition
Definition to come...
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