Lisa Ennis
Lisa Ennis is a Specialist in Odenton, Maryland. Licensed in Maryland. Registered with an NPI since 2024.
- Licensed in
- MD
- In the registry since
- 2024
Practice location Address checks out
8379 Piney Orchard Pkwy Ste FOdenton, MD 21113-1508
Phone: (410) 305-0601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 5994 (MD) |
|---|
Record details
| NPI number | 1447073937 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 4, 2024 |
| Last updated in NPPES | November 4, 2024 |
| Certification date | November 4, 2024 |
| Mailing address | 8379 Piney Orchard Pkwy Ste F, Odenton, MD 21113-1508 |
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