Lisa Linn Santo Domingo in Baltimore - Pediatrics

Lisa Linn Santo Domingo - NPI 1992970552

Lisa Linn Santo Domingo is a Pediatrics in Baltimore, Maryland. Lisa Linn Santo Domingo practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Lisa Linn Santo Domingo is 1992970552. The last update date is 2012-08-10.

Lisa Linn Santo Domingo's current location address is 600 N Wolfe St, Baltimore, Maryland. You can contact this provider via phone number 4109558769 and fax number 4109551464. The mailing address for Lisa Linn Santo Domingo is 600 N Wolfe St, Baltimore, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Lisa Linn Santo Domingo
Address 600 N Wolfe St, Baltimore, Maryland
Phone Number 4109558769
Fax Number 4109551464
Sole Proprietor N
Credentials CRNP-PEDIA

NPI Number Detail

NPI Number 1992970552
Provider Enumeration Date 2008-04-24
Last Updated Date 2012-08-10

Provider Mailing Address Detail

Address 600 N Wolfe St
City Baltimore
State Maryland (MD)
Post Code 212870005
Phone Number 4109558769
Fax Number 4109551464

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 363Lp0200X
Licence No R175012
Definition:
An advanced practice registered nurse expert in providing care to infants, children and adolescents.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
27626000 MD --

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FAQs about Lisa Linn Santo Domingo

What is the unique 10-digit identifier code issued to Lisa Linn Santo Domingo by the Centers for Medicare & Medicaid Services?

The Lisa Linn Santo Domingo has been assigned the NPI (National Provider Identifier) 1992970552 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Lisa Linn Santo Domingo?

The Lisa Linn Santo Domingo is situated at 600 N Wolfe St, in the city of Baltimore, state of MD, with the zip code 212870005.

What is Lisa Linn Santo Domingo's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Lisa Linn Santo Domingo is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 363Lp0200X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1992970552 to Lisa Linn Santo Domingo?

The Centers for Medicare & Medicaid Services originally issued the 1992970552 to Lisa Linn Santo Domingo on 2008-04-24.

When was the information pertaining to Lisa Linn Santo Domingo most recently updated or revised?

The details related to Lisa Linn Santo Domingo, including its address, specialty, and other relevant information, were last updated or revised on 2012-08-10.

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