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Individual
LISA MARIE ROBINHOLT
Active
Individual
LISA MARIE ROBINHOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA056529
PA
363A00000X
Physician Assistant
OA003169
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
319177F6K
MEDICARE PTAN
PA
Enumeration date
10/03/2013
Last updated
12/23/2015
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