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Individual
LISA LYNN PEOPLES
Active
Individual
LISA LYNN PEOPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
101917
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2429845
UNITED HEALTHCARE
—
01
—
36164
BCBS
—
05
—
7936164
—
NC
Enumeration date
02/15/2006
Last updated
12/31/2013
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