Individual provider · Type 1 NPI

Lelise Endale

Medical Physician Assistant · Baltimore, MD

NPI number 1316367881 Active

Practice location

300 E Madison St
Baltimore, MD 21202-4260

Call (410) 545-8102 Map

Mailing address

425 Holiday Dr
Pittsburgh, PA 15220-2714

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XC0004978 (MD)
Medical Physician Assistant 363AM0700XPA030906 (DC)

Medical Physician Assistant: Definition to come...

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About NPI 1316367881

Lelise Endale's National Provider Identifier is 1316367881, issued on Apr 23, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Baltimore, MD. The record was last updated on Apr 23, 2014.