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1245706431
LISA TAYLOR LUCAS
RANDALLSTOWN, MD
NPI
1245706431
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Former Name
LISA MICHELLE TAYLOR
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
Enumeration Date
2018-10-16
Last Update Date
2022-04-29
Business Address
LISA TAYLOR LUCAS PA-C
NORTHWEST HOSPITAL 5401 OLD COURT ROAD
RANDALLSTOWN, MD 21133
Phone number: 410-521-2200
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Mailing Address
LISA TAYLOR LUCAS PA-C
3311 MIDFIELD RD
BALTIMORE, MD 21208-4406
Phone number: 410-868-9872
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