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Individual

LISANDRO ROBERTO FORTUNY

Active
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Individual

LISANDRO ROBERTO FORTUNY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
97756
GA
207ZC0006X
Clinical Pathology Physician
036-161400
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2026-03462
NC
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
2019018934
MO

Other

Enumeration date
07/18/2019
Last updated
08/18/2026
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