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Individual
ALLISON SUE LANPHIER
Active
Individual
ALLISON SUE LANPHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001012
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2203703
—
IA
01
—
36238
BCBS PROVIDER #
IA
Enumeration date
05/31/2005
Last updated
07/19/2013
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