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Individual
LISA M LAWSING
Active
Individual
LISA M LAWSING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
336302
NY
363LF0000X
Family Nurse Practitioner
Primary
F336302-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102380203
MEDICAID - CCHS OFC
ME
01
—
102380302
MEDICAID - CCHS HOSP
ME
01
—
203979
MEDICARE A - CCHS
ME
01
—
432609399
MEDICAID - PERS
ME
01
—
MM7480
MEDICARE - GROUP
ME
01
—
NP425601
MEDICARE B - FOR MM7480
ME
01
—
NP425602
MED B - 200051
ME
Enumeration date
09/05/2006
Last updated
03/31/2011
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