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Individual
LISA ANN MAR
Active
Individual
LISA ANN MAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-A
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
133
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025365400
—
NE
05
—
10025376600
—
NE
01
—
2627462
UNITED HEALTHCARE
NE
01
—
37031
BLUECROSS BLUESHIELD
NE
01
—
F250232
MIDLANDS CHOICE
NE
Enumeration date
09/16/2006
Last updated
06/29/2008
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