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This data was extracted on 11/5/2025.

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License Number: C0002164 Lisa M Gallucci
License Type: Physician Assistant
License Status: Active  
License Issued: 08/18/1999  License Expiration:  06/30/2027
Licensure Pathway:  Traditional   
Special License Category:  N/A
 Medical Assistance

Accept Medicaid? Yes

Maryland Hospital Privilege Information (as reported by licensee)
Licensee has not reported Maryland Hospital Privilege information for the profile site.
Medical Licenses Held in Other States (as reported by licensee)
Licensee has not reported Medical Licenses Held in Other States information for the profile site.
 Physician Assistant Notification of Collaboration Agreements
Agreement ID: 5336 |  Submit Date: 05/21/2025
Practice Setting: Private Practice / Outpatient Clinic
Facility: Capital Digestive Care
Address: 15001 Shady Grove Rd
           Rockville, MD 20850
Advanced Duties: No | Prescriptive Authority: Yes | Dispensing Authority: No   
View Collaboration Agreement
Active Supervisee - Delegation Agreement For Core Duties
D0066888  David Lawrence Jager   Status: Approved  |  Approved Date:  04/03/2013  | Agreement No: 11302
Prescribe CDS: Yes  | Non-CDS: Yes  | Medical Devices: Yes
Dispense CDS: No  | Dispense NCDS: No
D0059854  Lawrence Alan Bassin   Status: Approved  |  Approved Date:  04/09/2019  | Agreement No: 18753
Prescribe CDS: Yes  | Non-CDS: Yes  | Medical Devices: Yes
Dispense CDS: No  | Dispense NCDS: No
D0083007  Brian Peter Ciampa   Status: Approved  |  Approved Date:  04/09/2019  | Agreement No: 18751
Prescribe CDS: Yes  | Non-CDS: Yes  | Medical Devices: Yes
Dispense CDS: No  | Dispense NCDS: No
D0081112  Olanma Yvonne Okoji   Status: Approved  |  Approved Date:  04/15/2019  | Agreement No: 18749
Prescribe CDS: Yes  | Non-CDS: Yes  | Medical Devices: Yes
Dispense CDS: No  | Dispense NCDS: No
D0072288  Leigh Bornstein Lurie   Status: Approved  |  Approved Date:  04/16/2019  | Agreement No: 18750
Prescribe CDS: Yes  | Non-CDS: Yes  | Medical Devices: Yes
Dispense CDS: No  | Dispense NCDS: No
D0059978  James Arthur Butler   Status: Approved  |  Approved Date:  10/03/2019  | Agreement No: 19564
Prescribe CDS: Yes  | Non-CDS: Yes  | Medical Devices: Yes
Dispense CDS: No  | Dispense NCDS: No
D0043414  Robert Gregg Finkel   Status: Approved  |  Approved Date:  10/03/2019  | Agreement No: 19565
Prescribe CDS: Yes  | Non-CDS: Yes  | Medical Devices: Yes
Dispense CDS: No  | Dispense NCDS: No
D0047215  Robert Francis Musselman   Status: Approved  |  Approved Date:  11/27/2019  | Agreement No: 19582
Prescribe CDS: Yes  | Non-CDS: No  | Medical Devices: No
Dispense CDS: No  | Dispense NCDS: No
D0035087  Joseph Genovese Jr.   Status: Approved  |  Approved Date:  12/17/2019  | Agreement No: 19844
Prescribe CDS: Yes  | Non-CDS: No  | Medical Devices: No
Dispense CDS: No  | Dispense NCDS: No
H0076875  Ann Marie Stephenson Thomas   Status: Approved  |  Approved Date:  12/17/2019  | Agreement No: 19848
Prescribe CDS: Yes  | Non-CDS: No  | Medical Devices: No
Dispense CDS: No  | Dispense NCDS: No
D0070902  Nissrin Mahmoud Ezmerli   Status: Approved  |  Approved Date:  12/26/2019  | Agreement No: 19871
Prescribe CDS: Yes  | Non-CDS: No  | Medical Devices: No
Dispense CDS: No  | Dispense NCDS: No
D0097338  Sneha Jayanti Patel   Status: Approved  |  Approved Date:  06/25/2024  | Agreement No: 34321
Prescribe CDS: No  | Non-CDS: Yes  | Medical Devices: No
Dispense CDS: No  | Dispense NCDS: No
Download all Maryland Disciplinary Actions (not time-limited)
All Orders are downloaded in .pdf format.
None.
 Summary of Known Disciplinary Actions by any state medical board (within the past 10 years)   Please Read Description
In Maryland:
No Known Disciplinary Actions by the Maryland Board of Physicians have been reported.
Other States:
No Known Disciplinary Actions by any other state medical board have been reported.
 Pending Charges   Please Read Disclaimer
All Charges are downloaded in .pdf format.
None.
 Other Public Actions in the Practice of the Profession or Administrative Fines (including Maryland)   Please Read Description
No reported Other Public Actions in the Practice of the Profession or Administrative Fines (incl. Maryland) for this licensee.
 Convictions for any crime involving moral turpitude
None reported by the courts.
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