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Individual
LISA T SAYLE
Active
Individual
LISA T SAYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
00-7042
SC
363A00000X
Physician Assistant
Primary
00-7042
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00-7042
SC STATE LICENSE
SC
01
—
360772
ARRT
SC
Enumeration date
03/13/2012
Last updated
03/13/2012
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