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Individual

LISA MICHELLE BASSILI

Active
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Individual

LISA MICHELLE BASSILI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35579
AZ
207L00000X
Anesthesiology Physician
M5045
TX
207L00000X
Anesthesiology Physician
Primary
MD178245
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500717456
—
OR
01
—
8DR091
BCBS OF TEXAS
TX
Enumeration date
07/02/2006
Last updated
10/10/2018
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