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Individual
LISA DORIS
Active
Individual
LISA DORIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LE,MTH
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
28D0107
NY
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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