Halvorson, Lisa Marie

Halvorson, Lisa Marie is an individual health care provider with primary practice located at 703 New Mark Esplanade , Rockville MD 20850-2739. She recently has only one registered license in Allopathic & Osteopathic Physicians / Reproductive Endocrinology, which is considered as her primary health care specialty. Halvorson, Lisa Marie can be contacted via phone (214) 288-1960.

Contact Information

Primary practice address
703 New Mark Esplanade Rockville MD 20850-2739
Phone: (214) 288-1960
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X D0078686 Maryland

Profile Details

NPI number 1568412088
LBN Legal business name Halvorson, Lisa Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Dec 19th, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1568412088 NPPES
Texas MEDICAID 155350501

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