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1023151750
LISA W PETIT
BALTIMORE, MD
NPI
1023151750
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: MD P20634)
Enumeration Date
2007-02-14
Last Update Date
2007-07-08
Business Address
Dr. LISA W PETIT MD
2401 W BELVEDERE AVE
BALTIMORE, MD 21215-5216
Phone number: 410-601-5284
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Mailing Address
Dr. LISA W PETIT MD
5643 COLUMBIA RD APT 203
COLUMBIA, MD 21044-2050
Phone number: 410-627-3252
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