Renfro, Lisa

Renfro, Lisa is an individual health care provider with primary practice located at 2002 Medical Pkwy Suite 630, Annapolis MD 21401-3046. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is her primary health care specialty. Renfro, Lisa can be contacted via phone (410) 224-2260.

Contact Information

Primary practice address
2002 Medical Pkwy Suite 630 Annapolis MD 21401-3046
Phone: (410) 224-2260
Fax: (410) 224-3090
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X M35991 Maryland
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X M35991 Maryland

Profile Details

NPI number 1306820626
LBN Legal business name Renfro, Lisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Jul 8th, 2007 - about 18 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 1306820626 NPPES
Maryland Other LR75 BC/BS OF MD
Maryland Other 4909 BC/BS OF MD

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