MEDICARE: LISA ELIZABETH BRAGG AU.D.

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
1	231H00000X	Audiologist	01253	MD

General Provider Information

NPI Number	:	1548523228
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA ELIZABETH BRAGG AU.D.

Provider Business Mailing Address
First Line	:	3290 N RIDGE ROAD SUITE 125
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21043-3656
Country	:	US
Telephone Number	:	410-696-2890
Fax Number	:	410-696-2886

Provider Business Practice Location Address
First Line	:	3290 N RIDGE ROAD SUITE 125
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21043-6017
Country	:	US
Telephone Number	:	410-696-2890
Fax Number	:	410-696-2886

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2012
Last Update Date	:	03/16/2018

Similar Medicare Providers

1487154761 — MALACHI NATHANIEL MARTIN FNP
Practice Location Address:

8920 NW 103RD ST
OKLAHOMA CITY, OK
73162-6017

Practice Phone: 580-216-1146
Practice Fax:

1467663575 — MRS. KERRI CELESTE SCRITCHFIELD MSW
Practice Location Address:

1582 LINCOLN RD
YUBA CITY, CA
95993-6017

Practice Phone: 530-822-5255
Practice Fax:

1689187692 — THE ARC OF ATLANTIC COUNTY, INC.
Practice Location Address:

3850 ATLANTIC AVE APT 207
ATLANTIC CITY, NJ
08401-6017

Practice Phone: 609-485-0800
Practice Fax:

1184137069 — THE ARC OF ATLANTIC COUNTY, INC.
Practice Location Address:

3850 ATLANTIC AVE APT 311
ATLANTIC CITY, NJ
08401-6017

Practice Phone: 609-485-0800
Practice Fax:

1609389584 — THE ARC OF ATLANTIC COUNTY, INC.
Practice Location Address:

3850 ATLANTIC AVE APT 307
ATLANTIC CITY, NJ
08401-6017

Practice Phone: 609-485-0800
Practice Fax:

1881107761 — THE ARC OF ATLANTIC COUNTY, INC.
Practice Location Address:

3850 ATLANTIC AVE APT 208
ATLANTIC CITY, NJ
08401-6017

Practice Phone: 609-485-0800
Practice Fax:

Directions to “ LISA ELIZABETH BRAGG AU.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.