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Individual
DR. LISA MICHELLE COESTER
Active
Individual
DR. LISA MICHELLE COESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
33773
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0221234
—
IA
01
—
22572
BLUE CROSS/ BLUE SHIELD
IA
Enumeration date
07/07/2005
Last updated
02/09/2014
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