# DR. LISA YVETTE HARRIS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1538134770
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 204496 | NY | Yes |
| 208000000X | Pediatrics Physician | 204496 | NY | — |

## Other

- **Enumeration date:** 02/21/2006
- **Last updated:** 03/21/2014

## 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 |