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1770825747
LISA HALL MCDONALD
CENTREVILLE, MD
NPI
1770825747
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Former Name
LISA DIANE VILLABONA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MD R118699)
Enumeration Date
2013-03-18
Last Update Date
2019-04-02
Business Address
LISA HALL MCDONALD NP
2540 CENTREVILLE RD
CENTREVILLE, MD 21617-2681
Phone number: 410-758-4432
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Mailing Address
LISA HALL MCDONALD NP
PO BOX 778
EASTON, MD 21601-8914
Phone number: 410-763-8787
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