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Individual
LISA K. GLANTZ
Active
Individual
LISA K. GLANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
80978
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000006747
BMC
MA
01
—
080978
TUFTS
MA
01
—
0809978
CONNECTICARE
MA
01
—
102481
CIGNA
MA
01
—
2376655
AETNA
MA
01
—
24956
HEALTH NEW ENGLAND
MA
05
—
3137554
—
MA
01
—
34748
HARVARD PILGRIM
MA
01
—
J16070
BCBS MA
MA
Enumeration date
01/12/2006
Last updated
08/02/2007
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