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Individual
LISA MARIE RUPPERT
Active
Individual
LISA MARIE RUPPERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2081P0004X
Spinal Cord Injury Medicine Physician
036125198
IL
2081P0004X
Spinal Cord Injury Medicine Physician
Primary
254560
NY
Other
Enumeration date
06/02/2008
Last updated
05/25/2012
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