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Individual
DR. LISA RENE GNAS
Active
Individual
DR. LISA RENE GNAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101013946
MI
208D00000X
General Practice Physician
Primary
5101013946
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5101013946
MICHIGAN LICENSING AND REGULATORY AFFAIRS
MI
Enumeration date
06/06/2008
Last updated
10/03/2023
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