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Individual
LISA R MAYFIELD
Active
Individual
LISA R MAYFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA, LNMT, LMT
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
10836
NC
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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