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Individual
MS. LISA MARIE MCCONNELL
Active
Individual
MS. LISA MARIE MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
14114
CA
363LF0000X
Family Nurse Practitioner
4704161913
MI
Other
Enumeration date
10/07/2010
Last updated
03/26/2019
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