MS. JULIA LISS


Address: 3105 14th Street Nw, Washington, DC 20010
Phone: 2024830008

MS. JULIA LISS (NPI# 1831319276) 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) 1831319276
Entity Type Individual
Full Name MS. JULIA LISS
Credential NP
Practice Address 3105 14th Street Nw
Washington
DC 20010
Mailing Address 3105 14th St Nw
Washington
DC 20010-2402
Practice Telephone 2024830008
Mailing Telephone 2024830008
Enumeration Date 2007-04-26
Last Update Date 2011-05-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
RN 1013153 DC Ambulatory Health Care Facilities

Office Location

Street Address 3105 14TH STREET NW
City WASHINGTON
State DC
Zip Code 20010

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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1457738122 Medical Ambassador Healthcare, LLC Clinic/Center 1220 L St Nw, Suite 100-275, Washington, DC 20005-4018 2015-05-01
1417350828 Premium Select Clinic/Center 4303 F St Se, Washington, DC 20019-4253 2014-09-30
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Competitor

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City WASHINGTON
Zip Code 20010

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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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