Lisa Marie Faulcon, MD

Primary specialty

Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X

License

946665 Issued in MD

Practice address

720 Rutland Ave
Ross 1125, Dept of Hematology
Baltimore, MD 21205-2109

Phone

(410) 955-6132

NPI assigned

Jul 2, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Lisa Marie Williams Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1235336124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 RUTLAND AVE",
            "address_2": "ROSS 1125, DEPT OF HEMATOLOGY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212052109",
            "telephone_number": "410-955-6132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 RUTLAND AVE",
            "address_2": "ROSS 1125, DEPT OF HEMATOLOGY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212052109",
            "telephone_number": "410-955-6132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULCON",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "MD",
            "license": "946665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "WILLIAMS",
            "middle_name": "MARIE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathy Fatovic, DO
• Robyn Fatseas, M.A.
• Maria Fatteh, MD
• Mia Fatuzzo, MD
• James Fauerbach, PH.D.
• Tammy Yellock Faulk
• Amari Monet Faulkner
• Brittaney Faulkner
• John Faulkner
• Kendall R Faulkner, M.D.

• Pediatric Hematology & Oncology Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Pediatric Hematology & Oncology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.