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NPI Code Detail

MEDICARE: MS. LISA LYNNE BARNETT CPNP

MEDICARE: MS. LISA LYNNE BARNETT CPNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0200XPediatric Nurse PractitionerSP003806DPA
2363LP0200XPediatric Nurse PractitionerR219426MD

General Provider Information

NPI Number : 1316926470
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LISA LYNNE BARNETT CPNP
Provider Business Mailing Address
First Line : 1475 TANEY AVE STE 201
Second Line :
City : FREDERICK
State : MD
Zip : 21702-5126
Country : US
Telephone Number : 301-662-0133
Fax Number :
Provider Business Practice Location Address
First Line : 1475 TANEY AVE STE 201
Second Line :
City : FREDERICK
State : MD
Zip : 21702-5126
Country : US
Telephone Number : 301-662-0133
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2006
Last Update Date : 01/21/2016

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Directions to “ MS. LISA LYNNE BARNETT CPNP” Practice Location

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