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1689659633

NPI Code Detail

MEDICARE: DR. LISA PERKINS HOUCK PT, DPT, OCS, MTC

MEDICARE: DR. LISA PERKINS HOUCK PT, DPT, OCS, MTC

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	2251X0800X	Orthopedic Physical Therapist	20195	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	147719000	OTHER	MD	DOL FSS
2	2116439	OTHER	MD	MAMSI FSS
3	3116439	OTHER	MD	MAMSI MSS
4	334552	OTHER	MD	PHCS
5	611844-02	OTHER	MD	CAREFIRST MSS
6	K134-0001	OTHER	MD	BC FEP MSS
7	650022015	OTHER	MD	MC RR
8	6611844-01	OTHER	MD	CAREFIRST FSS
9	602030700	OTHER	MD	DOL MSS
10	R5590004	OTHER	MH	FSS BC FEP

General Provider Information

NPI Number	:	1689659633
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LISA PERKINS HOUCK PT, DPT, OCS, MTC

Provider Business Mailing Address
First Line	:	610 SOLAREX CT
Second Line	:
City	:	FREDERICK
State	:	MD
Zip	:	21703-8624
Country	:	US
Telephone Number	:	240-215-9023
Fax Number	:

Provider Business Practice Location Address
First Line	:	610 SOLAREX CT
Second Line	:
City	:	FREDERICK
State	:	MD
Zip	:	21703-8624
Country	:	US
Telephone Number	:	240-215-9023
Fax Number	:	240-215-9026

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

Provider Enumeration Date	:	12/13/2005
Last Update Date	:	01/07/2026

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1548244056 — DALE R HEITZIG M.D.
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1689658890 — FREDERICK PRIMARY CARE ASSOCIATES, P.A.
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1063496107 — STEPHEN HERNG-SHIU LEE M.D.
Practice Location Address:

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FREDERICK, MD
21703-8624

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1710961768 — JILL A DURFEE M.D.
Practice Location Address:

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FREDERICK, MD
21703-8624

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1104805985 — MRS. VIRGINIA MARIE STANDFORD MSPT
Practice Location Address:

610 SOLAREX CT
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21703-8624

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Directions to “ DR. LISA PERKINS HOUCK PT, DPT, OCS, MTC” 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.

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