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Individual
LISA ANN BECKINELLA
Active
Individual
LISA ANN BECKINELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0103049843
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
186715
MEDICARE GROUP
VA
01
—
C01127
MEDICARE GROUP
VA
01
—
C02868
MEDICARE GROUP
VA
01
—
CC5940
RAILROAD MEDICARE GROUP
VA
Enumeration date
01/07/2009
Last updated
11/02/2009
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