Lisa Distefano

NPI #1750989125 in Rosedale, Maryland

Provider Information

NPI Number: 1750989125
Entity Type: Individual
Name: Lisa Distefano
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Oct 16, 2020
Last Updated: Nov 25, 2020

Practice Location

Address: 9000 FRANKLIN SQUARE DR
City: Rosedale
State: Maryland
ZIP Code: 21237-3901
Phone: (443) 777-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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