| Doctor Name: | DR. LISA DIANE URBAN |
| NPI Number: | 1023008000 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | C10009764 |
| Business Practice Address: | 609 Daffin Ln Denton, MD - 216291392 |
| Business Phone Number: | 4104792650 |
| Business Fax Number: | 4104791626 |
| Mailing Address: | 301 Randolph St, DENTON |
| State: | MD |
| Postal Code: | 216291243 |
| Phone Number: | 4104794306 |
| Fax Number: | 4104791714 |
| NPI Enumeration Date: | 10/21/2005 |
| NPI Last Update Date: | 10/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | C10009764 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | DE |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |