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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. LISA MICHELLE DAVIS, PHD, PA-C

Active Sole Proprietor

DR. LISA MICHELLE DAVIS, PHD, PA-C is a Medical Physician Assistant healthcare provider located in ELLICOTT CITY, Maryland. NPI 1629887518 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · ELLICOTT CITY, MD

Registration Details

NPI Number
1629887518
Provider Type
Individual
Gender
Female
NPI Issued
Jan 6, 2025 (1.5659410580944 yrs)
Last Updated
Jan 6, 2025
Licenses
C0002863 (MD)
C0002863 (MD)
Sole Proprietor
Yes

Practice Information

Address
3950 WHITE ROSE WAY
ELLICOTT CITY, MD, 210425822
Browse MD providers · Browse ZIP 21042
Phone
4438655342
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in ELLICOTT CITY, MD

Name Credential NPI
MR. JAMIEL SHARIEF HAFIZ LPA, LAC 1730201773
MR. JOSHUA ALAN ANDERSON MS, PA-C 1891005484
JUAN LIU 1396100095
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.