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Individual
LISA N GARBER
Active
Individual
LISA N GARBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA05086
TX
363AM0700X
Medical Physician Assistant
085-002928
IL
363AM0700X
Medical Physician Assistant
PA05086
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210705402
—
TX
05
—
210705403
—
TX
05
—
210705406
—
TX
01
—
P00476234
RAILROAD
IL
Enumeration date
01/04/2007
Last updated
04/13/2021
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