# LISANDRO ROBERTO FORTUNY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1104479203
- **Gender:** Man

## Taxonomy

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

## Other

- **Enumeration date:** 07/18/2019
- **Last updated:** 08/18/2026