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Mrs. Lisa Linn Santo Domingo, CRNP-PEDIATRICS
Pediatric Nurse Practitioner in Baltimore, Maryland
NPI 1992970552

Lisa Linn Santo Domingo is a Pediatric Nurse Practitioner based in Baltimore, MD and is specialized in Pediatrics. Lisa Linn Santo Domingo practices in Baltimore, MD and has the professional credentials of CRNP-PEDIATRICS. The NPI Number for Lisa Linn Santo Domingo is 1992970552 and holds a License No. R175012 (Maryland).

The current practice location address for Lisa Linn Santo Domingo is 600 N Wolfe St, Baltimore, MD and can be reached out via phone at 410-955-8769 and via fax at 410-955-1464.

Location: 600 N Wolfe St, Baltimore, MD, 21287-0005
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Provider Profile Details
NPI Number
1992970552
Provider Name
Lisa Linn Santo Domingo
Credential
CRNP-PEDIATRICS
Provider Entity Type
Individual
Gender
Female
Address
600 N Wolfe St, Baltimore, MD, 21287-0005
Phone Number
410-955-8769
Fax Number
410-955-1464
Provider Enumeration Date
04/24/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
027626000 05 MD
institution
Provider Business Practice Location Address Details
Address
600 N Wolfe St
City
State
Zip
21287-0005
Phone Number
410-955-8769
Fax Number
410-955-1464
person
Provider Business Mailing Address Details
Address
600 N Wolfe St
City
State
Zip
21287-0005
Phone Number
410-955-8769
Fax Number
410-955-1464
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
R175012 (Maryland)
Definition
Definition to come...
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