Individual provider · Type 1 NPI
Lisa Linn Santo Domingo, CRNP-PEDIATRICS
Pediatric Nurse Practitioner · Baltimore, MD
NPI number
1992970552
Active
Practice location
600 N Wolfe St, Brady 320
Baltimore, MD 21287-0005
Fax (410) 955-1464
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | R175012 (MD) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1992970552
Lisa Linn Santo Domingo, CRNP-PEDIATRICS's National Provider Identifier is 1992970552, issued on Apr 24, 2008. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Baltimore, MD. The record was last updated on Aug 10, 2012.