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Individual
DR. LISA MODELEVSKY
Active
Individual
DR. LISA MODELEVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
051296134
IL
1835X0200X
Oncology Pharmacist
Primary
20 057333
NY
1835X0200X
Oncology Pharmacist
PH234578
MA
Other
Enumeration date
09/03/2014
Last updated
09/03/2014
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