LISA L FORD

BALTIMORE, MD
NPI1912936337
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: MD  C0002649)
Additional Taxonomies363A00000X Physician Assistant
(Licence: MD  C0002649)
Enumeration Date2006-06-30
Last Update Date2010-03-01
Business Address
-- LISA L FORD PA
301 SAINT PAUL PL SURGICAL PA'S
BALTIMORE, MD 21202-2102
Phone number: 410-332-9265
Mailing Address
-- LISA L FORD PA
PO BOX 64075
BALTIMORE, MD 21264-4075
Phone number: