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1053934398
LISA C STANLEY
BALTIMORE, MD
NPI
1053934398
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MD R187264)
Enumeration Date
2020-05-21
Last Update Date
2020-07-27
Business Address
LISA C STANLEY NP
22 S GREENE ST
BALTIMORE, MD 21201-1590
Phone number: 410-328-7877
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Mailing Address
LISA C STANLEY NP
PO BOX 64442
BALTIMORE, MD 21264-4442
Phone number: 410-328-8040
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