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Lisette Roque

NPI 1063137909 · on the registry since 2022

Practice

Address
1712 Linden Park Pl
Bowie, MD 20721
Phone
(240) 636-4454

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-10-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland