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1184100158
LISA MAC
BETHESDA, MD
NPI
1184100158
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MD C0006846)
Enumeration Date
2018-07-12
Last Update Date
2018-07-12
Business Address
LISA MAC PA-C
9000 ROCKVILLE PIKE BLDG 10
BETHESDA, MD 20892-0001
Phone number: 302-228-6009
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Mailing Address
LISA MAC PA-C
5316 SEAHORSE PL
WALDORF, MD 20603-4375
Phone number: 313-717-6373
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