Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2200X | Nurse Practitioner - Adult Health | R12251 | MD |
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | R122521 | MD |
NPI | 1013140623 |
---|---|
Provider Name | Mrs. Lisa Ann Uhl |
First Address | Catonsville, MD 21228-5383 |
Second Address | Ellicott City, MD 21043 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2009 |
Last Update Date | 16/08/2018 |