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 |
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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 |
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Provider Enumeration Date | 2006-07-26 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 10753 Falls Rd Pavilion Ii |
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City | Lutherville |
State | Maryland (MD) |
Post Code | 210932967 |
Phone Number | 4105832970 |
Fax Number | 4105832980 |
Provider's Primary Taxonomy Detail
Speciality | Adult Health |
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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 |
Post Comment/ Review Below
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.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY