Dr. Lisa Yun Xu
Dermatologist
1550 Orleans St Crb Ii Room 211
Baltimore
, Maryland 21287-0013
Dr. Lisa Yun Xu
Dermatologist
1550 Orleans St Crb Ii Room 211
Baltimore
, Maryland 21287-0013
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Dr. Lisa Yun Xu
- Po Box 64252
- Baltimore, MD
- Zip : 21264-4252
- Phone :
Second Address
- Dr. Lisa Yun Xu
- 1550 Orleans St Crb Ii Room 211
- Baltimore, MD
- Zip : 21287-0013
- Phone : (410) 955-8662
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatologist | 01068724A | IN |
| Y | 207N00000X | Dermatologist | D75158 | MD |
National Provider Identifier
| NPI | 1013118256 |
|---|---|
| Provider Name | Dr. Lisa Yun Xu |
| First Address | Baltimore, MD 21264-4252 |
| Second Address | Baltimore, MD 21287-0013 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/05/2007 |
| Last Update Date | 31/03/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 061198100 | (05) | MD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.