Polko, Lisa Erin

Polko, Lisa Erin is an individual health care provider with primary practice located at 41680 Miss Bessie Dr 102 , Leonardtown MD 20650-2963. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Polko, Lisa Erin can be contacted via phone (301) 997-1788.

Contact Information

Primary practice address
41680 Miss Bessie Dr 102 Leonardtown MD 20650-2963
Phone: (301) 997-1788
Fax: (301) 997-1791
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X D0055831 Maryland

Profile Details

NPI number 1841250651
LBN Legal business name Polko, Lisa Erin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Sep 24th, 2015 - about 9 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 1841250651 NPPES
Maryland MEDICAID 000102300

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