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Lisvan Carrero Fernandez
NPI 1932842432 · on the registry since 2022
Practice
- Address
- 10205 Baltimore Ave Apt 7206
College Park, MD 20740 - Phone
- (786) 659-7896
Additional practice sites
- 5900 Cedar Ln, Columbia, MD
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 390200000X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-12-05
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