Individual provider · Type 1 NPI
Lisa Ennis
Specialist · Odenton, MD
NPI number
1447073937
Active
Practice location
8379 Piney Orchard Pkwy Ste F
Odenton, MD 21113-1508
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 5994 (MD) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Another provider at this address
Other specialist providers in Odenton
About NPI 1447073937
Lisa Ennis's National Provider Identifier is 1447073937, issued on Nov 4, 2024. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Odenton, MD. The record was last updated on Nov 4, 2024.