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Individual
LISA MARIE COSTA
Active
Individual
LISA MARIE COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
1-059357
AL
363LN0000X
Neonatal Nurse Practitioner
RN220849
GA
Other
Enumeration date
02/20/2013
Last updated
08/23/2023
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