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Individual
DR. LISA M. CANNON
Active
Individual
DR. LISA M. CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
244659
MA
208000000X
Pediatrics Physician
C1-0009152
DE
208000000X
Pediatrics Physician
C7-000 3532
DE
208000000X
Pediatrics Physician
MD436025
PA
208000000X
Pediatrics Physician
MT188481
PA
208D00000X
General Practice Physician
MD436025
PA
208M00000X
Hospitalist Physician
MD436025
PA
Other
Enumeration date
03/20/2007
Last updated
06/26/2015
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