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Individual

DR. LISA YVETTE HARRIS

Active
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Individual

DR. LISA YVETTE HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
204496
NY
208000000X
Pediatrics Physician
204496
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000911856006
HEALTH NOW
NY
01
—
1010674DL
PREFERRED CARE PEDIATRICS
NY
01
—
101674BJ
PEFERRED CARE ADULTS
NY
01
—
269914
GHI
NY
01
—
5925757
AETNA
NY
01
—
P010204496
EXCELLUS BC BS HMO
NY
01
—
P020204496
EXCELLUS BCBS COMMERCIAL
NY
Enumeration date
02/21/2006
Last updated
03/21/2014
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