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Individual
LISA HANLEY
Active
Individual
LISA HANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007758L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1936313
BLUE SHIELD
—
01
—
405457
HEALTH AMERICA ASSURANCE
—
01
—
819171
FIRST PRIORITY
—
01
—
821388
FIRST PRIORITY
—
01
—
821837
FIRST PRIORITY
—
Enumeration date
11/28/2006
Last updated
07/08/2007
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