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Individual
LISA B HOFFMAN
Active
Individual
LISA B HOFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
190033
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010077703
UNIVERA
NY
01
—
000524982003
BC/BS
NY
05
—
01505206
—
NY
01
—
040426035704
FIDELIS
NY
01
—
0409807
IHA
NY
01
—
145823BJ
PREFERRED CARE
NY
01
—
403378
WELLCARE
NY
Enumeration date
12/22/2005
Last updated
07/20/2014
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