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1598985178
LISA A BROOME
LA PLATA, MD
NPI
1598985178
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Former Name
LISA A KENNEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MD C0002687)
Enumeration Date
2007-04-26
Last Update Date
2012-01-03
Business Address
-- LISA A BROOME PA-C
16 N LA PLATA CT
LA PLATA, MD 20646-4283
Phone number: 301-392-3330
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Mailing Address
-- LISA A BROOME PA-C
16 N LA PLATA CT P.O. BOX 2188
LA PLATA, MD 20646-4283
Phone number: 301-392-3330
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