Mrs Lisa M Davis, RD, LD | |
6565 N Charles St, Ste 507, Baltimore, MD 21204-6800 | |
(443) 849-2036 | |
Not Available |
Full Name | Mrs Lisa M Davis |
---|---|
Gender | Female |
Speciality | Registered Dietitian Or Nutrition Professional |
Experience | 41 Years |
Location | 6565 N Charles St, Baltimore, Maryland |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750472031 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | D00091 (Maryland) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Greater Baltimore Medical Center Inc | 1759276975 | 307 |
Provider Name | Greater Baltimore Medical Center Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1891855763 PECOS PAC ID: 1759276975 Enrollment ID: O20040217000852 |
Mailing Address | Practice Location Address |
---|---|
Mrs Lisa M Davis, RD, LD Po Box 631568, Baltimore, MD 21263-1568 Ph: () - | Mrs Lisa M Davis, RD, LD 6565 N Charles St, Ste 507, Baltimore, MD 21204-6800 Ph: (443) 849-2036 |
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