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Individual
MS. LISA SMITH VEALE BOONE
Active
Individual
MS. LISA SMITH VEALE BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-09564
NC
363A00000X
Physician Assistant
0110-006975
VA
363A00000X
Physician Assistant
C07519
MD
363A00000X
Physician Assistant
Primary
PA03829
TX
Other
Enumeration date
09/12/2006
Last updated
04/14/2020
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