Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA ENNIS
ActiveLISA ENNIS is a Specialist healthcare provider located in ODENTON, Maryland. NPI 1447073937 is currently active in the NPPES registry. Verify at CMS.
Specialist · ODENTON, MD
Registration Details
- NPI Number
- 1447073937
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 4, 2024 (1.7400974035921 yrs)
- Last Updated
- Nov 4, 2024
- License
-
5994 (MD)
Practice Information
- Address
-
8379 PINEY ORCHARD PKWY STE FODENTON, MD, 211131508Browse MD providers · Browse ZIP 21113
- Phone
- 4103050601
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in ODENTON, MD
| Name | Credential | NPI |
|---|---|---|
| MR. GLENN ROBERT CHUMLEY | — | 1144451493 |
| KAREN NATIONS | BCABA | 1720314990 |
| MS. LAURA VENABLES LUBIN | OTR | 1326316464 |
| LAURIE C HYLAND ROBERTSON | MS, C-IAYT | 1134632268 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.