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Individual
DR. LISA G WOHL
Active
Individual
DR. LISA G WOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
36060734
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02215680
BLUE CROSS BLUE SHIELD
IL
05
—
036060734
—
IL
01
—
049603001
DMERC
IL
01
—
180012516
RAILROAD MEDICARE
IL
Enumeration date
06/20/2006
Last updated
08/29/2023
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