Lisa M Wiltrout
MD | Pediatrics | Female
Lisa M Wiltrout, MD is a La Plata, Maryland based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Lisa M Wiltrout is
5 Garrett Ave, Civista Medical Center, La Plata, Maryland - 20646-5960. She can be contacted on phone at
301-609-4000.
Lisa M Wiltrout is a sole proprietor of her business.
NPI number (Unique professional ID) for Lisa M Wiltrout is
1306813134 which was assigned by NPPES on 01 Mar, 2006 and it was last updated on 21 Apr, 2011.
Lisa M Wiltrout license number is
D0057484 for Pediatrics (208000000X) in Maryland.
Lisa M Wiltrout is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Lisa M Wiltrout basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Lisa M Wiltrout |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Lisa M Wiltrout address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 5 Garrett Ave, Civista Medical Center
La Plata, MD, 20646-5960
United States |
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| Phone Number : | 301-609-4000 |
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Professional Identification Codes:
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 : | 1306813134 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 01 Mar, 2006 |
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| Last Updated On : | 21 Apr, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lisa M Wiltrout are as mentioned. Primary taxonomy code for Lisa M Wiltrout, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | D0057484 | MD |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 701 Charles St, P.o. Box 1070
La Plata, MD, 20646-5930
United States |
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| Phone Number : | 301-609-4000 |
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Business Location:
Patients can refer following map for directions to
Lisa M Wiltrout practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.