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Individual
LISE MORIN COPE
Active
Individual
LISE MORIN COPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
H5594
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
H5594
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006600972
MEDICAID - LGP
VA
05
—
010273714
—
VA
01
—
011265L84
MEDICARE - LGP
—
Enumeration date
12/16/2005
Last updated
09/20/2022
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