Lisa M Kim M D Inc

LBN: Lisa M Kim M D Inc
Lisa M Kim M D Inc is an health care organization with primary practice located at 3355 Rogers Ave , Ellicott City MD 21043-4105. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Lisa M Kim M D Inc can be contacted via phone (410) 480-5195, or through Kim, Lisa M via phone (410) 480-5195.

Contact Information

Primary practice address
3355 Rogers Ave Ellicott City MD 21043-4105
Phone: (410) 480-5195
Fax: (410) 480-5197
Website:
Map and Directions
Authorized official contact:
Name: Kim, Lisa M Doctor of Medicine (MD)
Phone: (410) 480-5195

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X D52479 Maryland

Profile Details

NPI number 1457660110
LBN Legal business name Lisa M Kim M D Inc
DBA Doing business as
Authorized official Kim, Lisa M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2010
Last updated Sep 29th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457660110 NPPES
Maryland MEDICAID 346603500

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