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Individual
LIDIJA PETROVIC
Active
Individual
LIDIJA PETROVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
226218
NY
207ZP0101X
Anatomic Pathology Physician
Primary
A52273
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GR0101420
GROUP MEDICAID #
CA
01
—
GR0101421
GROUP MEDICAID #
CA
01
—
HW7801A
GROUP MEDICARE #
CA
01
—
HW7801B
GROUP MEDICARE #
CA
01
—
LAB28654F
GROUP MEDICAID #
CA
01
—
W7801B
GROUP MEDICARE #
CA
01
—
ZZZ31029Z
GROUP BLUE SHIELD #
CA
01
—
ZZZ54738Z
GROUP BLUE SHIELD #
CA
01
—
ZZZ94714Z
GROUP BLUE SHIELD #
CA
Enumeration date
02/23/2006
Last updated
12/11/2013
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