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Individual
LISA M. ROSA-RE
Active
Individual
LISA M. ROSA-RE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
029768
GA
207Q00000X
Family Medicine Physician
55289
MT
207Q00000X
Family Medicine Physician
Primary
C173044
CA
Other
Enumeration date
09/13/2006
Last updated
08/04/2023
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