Lisa Carroll Radebaugh in Lutherville - Adult Health

Lisa Carroll Radebaugh - NPI 1588688345

Lisa Carroll Radebaugh is a Adult Health in Lutherville, Maryland. Lisa Carroll Radebaugh practices all healthcare services and medical treatments related to Adult Health. The NPI Number for Lisa Carroll Radebaugh is 1588688345. The last update date is 2007-07-08.

Lisa Carroll Radebaugh's current location address is 10753 Falls Rd Pavilion Ii, Lutherville, Maryland. You can contact this provider via phone number 4105832970 and fax number 4105832980. The mailing address for Lisa Carroll Radebaugh is 10753 Falls Rd Pavilion Ii, Lutherville, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Lisa Carroll Radebaugh
Address 10753 Falls Rd Pavilion Ii, Lutherville, Maryland
Phone Number 4105832970
Fax Number 4105832980
Sole Proprietor N
Credentials N.P.

NPI Number Detail

NPI Number 1588688345
Provider Enumeration Date 2006-07-26
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 10753 Falls Rd Pavilion Ii
City Lutherville
State Maryland (MD)
Post Code 210932967
Phone Number 4105832970
Fax Number 4105832980

Provider's Primary Taxonomy Detail

Speciality Adult Health
Taxonomy 363La2200X
Licence No R080294
Definition:
An advanced practice registered nurse expert in providing primary and specialty healthcare services to adult patients.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
53410801 MD BLUE SHIELD
972003100 MD --
242566 MD KAISER
92 MD CAREFIRST REGIONAL

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FAQs about Lisa Carroll Radebaugh

What is the unique identifier code issued to Lisa Carroll Radebaugh by the Centers for Medicare & Medicaid Services?

The Lisa Carroll Radebaugh has been assigned the NPI (National Provider Identifier) 1588688345. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Lisa Carroll Radebaugh is physically located?

The Lisa Carroll Radebaugh is physically situated at the following address: 10753 Falls Rd Pavilion Ii, Lutherville, MD, 210932967.

What is the Lisa Carroll Radebaugh's area of specialization and corresponding taxonomy classification?

The Lisa Carroll Radebaugh's specialty field is Adult Health, and it falls under the taxonomy code 363La2200X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1588688345 to Lisa Carroll Radebaugh?

The Centers for Medicare & Medicaid Services assigned the 1588688345 to Lisa Carroll Radebaugh on 2006-07-26.

When was the information related to Lisa Carroll Radebaugh most recently updated or refreshed?

The details pertaining to the Lisa Carroll Radebaugh, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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