Rakowski, Lisa K

Rakowski, Lisa K is an individual health care provider with primary practice located at 1475 Taney Ave Suite 201, Frederick MD 21702-4747. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Rakowski, Lisa K can be contacted via phone (301) 662-0133.

Contact Information

Primary practice address
1475 Taney Ave Suite 201 Frederick MD 21702-4747
Phone: (301) 662-0133
Fax: (240) 379-6710
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X D0057220 Maryland

Profile Details

NPI number 1629079355
LBN Legal business name Rakowski, Lisa K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Jun 18th, 2010 - about 14 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 1629079355 NPPES
Maryland MEDICAID 719300900

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