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Individual
LISA MARIE GUERETTE
Active
Individual
LISA MARIE GUERETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2947
CA
231H00000X
Audiologist
55
AK
235Z00000X
Speech-Language Pathologist
20127
CA
235Z00000X
Speech-Language Pathologist
30
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AU7673
—
AK
05
—
SP7673
—
AK
Enumeration date
02/05/2007
Last updated
02/19/2020
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