STEPHANIE JOAN CONDON

GLEN BURNIE, MD
NPI1578865176
Former NameSTEPHANIE JOAN LACKEY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MD  C0004292)
Enumeration Date2010-12-02
Last Update Date2021-03-24
Business Address
STEPHANIE JOAN CONDON P.A.
7116 RITCHIE HWY
GLEN BURNIE, MD 21061-2904
Phone number: 443-577-0277
Mailing Address
STEPHANIE JOAN CONDON P.A.
5000 COX RD
GLEN ALLEN, VA 23060-9263
Phone number: 804-968-5700