Mrs. Lisa Linn Santo Domingo is a Baltimore, Maryland based nurse practitioner who is specialized as Pediatrics nurse. Active license number of Mrs. Lisa Linn Santo Domingo is R175012 for Pediatrics in Maryland. Her current practice location is 600 N Wolfe St, Brady 320, Baltimore. Patients can reach her at 410-955-8769 or can fax her at 410-955-1464. Mrs. Lisa Linn Santo Domingo is CRNP-PEDIATRICS with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1992970552. Mrs. Lisa Linn Santo Domingo specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Mrs. Lisa Linn Santo Domingo speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Mrs. Lisa Linn Santo Domingo
Specialization:
Pediatrics Nurse Practitioner (PNP)
Gender:
Female
Credentials:
CRNP-PEDIATRICS
Practice Address:
600 N Wolfe St, Brady 320, Baltimore, Maryland, 21287-0005
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1992970552
NPI Enumeration Date:
24 Apr, 2008
NPI Last Update On:
10 Aug, 2012
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Lisa Linn Santo Domingo are as mentioned below.
License Number
Specialization
State
Status
R175012
Pediatrics
Maryland
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Lisa Linn Santo Domingo such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
027626000
Medicaid
Maryland
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mrs. Lisa Linn Santo Domingo 600 N Wolfe St, Brady 320 Baltimore, Maryland
Zip:
21287-0005
Phone Number:
410-955-8769
Fax Number:
410-955-1464
Patients can reach Mrs. Lisa Linn Santo Domingo at 600 N Wolfe St, Brady 320, Baltimore, Maryland or can call to book an appointment on 410-955-8769.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.