Broome, Lisa A

Broome, Lisa A is an individual health care provider with primary practice located at 16 N La Plata Ct , La Plata MD 20646-4283. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Broome, Lisa A can be contacted via phone (301) 392-3330.

Contact Information

Primary practice address
16 N La Plata Ct La Plata MD 20646-4283
Phone: (301) 392-3330
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X C0002687 Maryland

Profile Details

NPI number 1598985178
LBN Legal business name Broome, Lisa A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2007
Last updated Jan 3rd, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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