# LISA ANN MAR

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1487750162
- **Gender:** F
- **Credential:** M.S., CCC-A

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 133 | NE | Yes |

## Other

- **Enumeration date:** 09/16/2006
- **Last updated:** 06/29/2008

## 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 |