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Individual
LISA ANNE MAINIER
Active
Individual
LISA ANNE MAINIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
010543
OH
207Q00000X
Family Medicine Physician
Primary
OS015423
PA
207QA0505X
Adult Medicine Physician
OS015423
PA
Other
Enumeration date
07/31/2006
Last updated
01/30/2024
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