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NPI 1811952633

NPI 1811952633 : LISA WEISS FORBESS MD : BALTIMORE, MD

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General NPI Number Information
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    NPI Number           |    1811952633
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    Entity Type          |    Individual 
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    Provider Name        |    LISA WEISS FORBESS MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/18/2006
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    Last Update Date     |    05/07/2025
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Provider Practice Location Address
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    Address Line         |    22 S GREENE ST 
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    City                 |    BALTIMORE
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    State                |    MD
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    Zip                  |    21201-1544
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    Country              |    US
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    Telephone            |    410-328-7877
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    Fax                  |    410-328-2062
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Provider Business Mailing Address
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    Address Line         |    PO BOX 64442 
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    City                 |    BALTIMORE
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    State                |    MD
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    Zip                  |    21264-6444
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    Country              |    US
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    Telephone            |    410-328-8090
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    Fax                  |    410-328-9191
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RC0000X
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    Taxonomy Name        |    Cardiovascular Disease Physician
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    License Number       |    D90877
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    License Number State |    MD
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Taxonomy #2
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    Taxonomy Code        |    207RA0002X
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    Taxonomy Name        |    Adult Congenital Heart Disease Physician
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    License Number       |    D0090877
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    License Number State |    MD
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