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Individual
LISA M FLYNN
Active
Individual
LISA M FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301061622
MI
2086S0129X
Vascular Surgery Physician
Primary
4301061622
MI
Other
Enumeration date
08/12/2005
Last updated
12/27/2013
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