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Individual
ELIZABETH KIM LE
Active
Individual
ELIZABETH KIM LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDMS
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
169738
GA
293D00000X
Physiological Laboratory
169738
GA
Other
Enumeration date
07/11/2023
Last updated
01/11/2024
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