LISA HALL MCDONALD


Address: 2540 Centreville Rd, Centreville, MD 21617-2681
Phone: 4107584432

LISA HALL MCDONALD (NPI# 1770825747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770825747
Entity Type Individual
Full Name LISA HALL MCDONALD
Other Name LISA DIANE VILLABONA
Credential NP
Practice Address 2540 Centreville Rd
Centreville
MD 21617-2681
Mailing Address Po Box 778
Easton
MD 21601-8914
Practice Telephone 4107584432
Practice Fax Number 4107581938
Mailing Telephone 4107638787
Mailing Fax Number 4107638788
Enumeration Date 2013-03-18
Last Update Date 2019-04-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
R118699 MD Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 2540 CENTREVILLE RD
City CENTREVILLE
State MD
Zip Code 21617-2681

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598759706 Michael Gasparovich Family Medicine 2540 Centreville Rd, Centreville, MD 21617-2681 2005-09-02
1053706382 Gurpreet Saini Internal Medicine 2540 Centreville Rd, Centreville, MD 21617 2015-04-02
1982841698 Delmarva Orthopaedic Clinic, P.a. Physical Medicine & Rehabilitation 2540 Centreville Rd, Centreville, MD 21617-2681 2009-01-16
1366524365 Michell M Jordan Nurse Practitioner 2540 Centreville Rd, Centreville, MD 21617 2006-10-19
1962430728 Jeffrey L Ukens Family Medicine 2540 Centreville Rd, Centreville, MD 21617-2681 2006-06-29
1659334852 Valerie Ellen Goodman Family Medicine 2540 Centreville Rd, Centreville, MD 21617-2681 2006-04-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518322445 Marianna Edmonston Occupational Therapy Assistant 205 Armstrong St., Genesis Rehabilitation Services Corsica Hills, Centreville, MD 21617 2015-12-18
1881089084 Michelle Katherine Priddy Specialist/Technologist 125 Ruthsburg Rd., Centreville, MD 21617 2015-04-03
1801220579 Kimberly Patrice Wilson Counselor 205 North Liberty St, Centreville, MD 21617 2013-08-29
1588940787 Angela Renee Sommer Speech-Language Pathologist 205 Armstrong Street, Genesis Rehabilitation Services Corsica Hills, Centreville, MD 21617 2011-11-01
1497067144 Alison Lynn Mccuen Speech-Language Pathologist 175 Ashland Drive, Centreville, MD 21617 2010-07-10
1427269406 Hospice of Queen Anne's Inc. Hospice Care, Community Based 255 Comet Drive, Centreville, MD 21617 2007-05-24
1093921470 Lillian Sheehan Social Worker 152 Courseval Drive, Ste 142, Centreville, MD 21617 2007-05-15
1184723942 Centreville Drugs Inc Durable Medical Equipment & Medical Supplies 102 Commerce Street, Centreville, MD 21617 2006-09-21
1114022670 James J Lucas Dentist 134 Coursevall Drive, Centerville, MD 21617 2006-09-13
1730129370 Joseph C Titus Social Worker 120 Banjo Lane, Centreville, MD 21617 2006-06-08
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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1114493723 Monica Marie Magowan Nurse Practitioner Touchette Regional Hospital, 5900 Bond Ave, Centreville, IL 62207 2018-10-22
1699274753 Sarah Caitlin Brown Nurse Practitioner 5895 Trinity Pkwy Ste 100, Centreville, VA 20120 2018-02-05
1538554076 Patricia Lee Nurse Practitioner 1281 Abercrombie Rd, Centreville, AL 35042-5104 2015-04-01
1275946162 James Hawley Nurse Practitioner 260 W Main Street, Centreville, MS 39631 2014-06-09
1982761078 Candace S Cane Nurse Practitioner 13880 Braddock Rd Ste 209, Lavonna Shade, Office Manager, Centreville, VA 20121-2463 2007-01-02
1093316663 Samantha Jo Moody Nurse Practitioner 658 E Main St, Centreville, MI 49032-9627 2020-11-02
1811507114 Amber Smith Flowers Nurse Practitioner 178 Highway 24 E, Centreville, MS 39631-4171 2020-08-03
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Competitor

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City CENTREVILLE
Zip Code 21617

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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