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Individual
DR. LISA P MAESTAS
Active
Individual
DR. LISA P MAESTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
OP60455816
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10013148
LOVELACE HEALTHPLAN
NM
01
—
2222574
FIRST HEALTH
NM
05
—
39626253
—
NM
01
—
881327
AHCCCS
NM
01
—
NM004A63
BLUESHIELD/NM
NM
Enumeration date
06/15/2005
Last updated
06/17/2014
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