MRS. Lisa Anne Marcinko, PAC

NPI #1942521471 in Perry Hall, Maryland

Provider Information

NPI Number: 1942521471
Entity Type: Individual
Name: MRS. Lisa Anne Marcinko, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Jun 18, 2010
Last Updated: Jun 18, 2010

Practice Location

Address: 9100 REXIS AVE
City: Perry Hall
State: Maryland
ZIP Code: 21128-9604
Phone: (410) 256-1443

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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