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Individual
LIZAMAR S KORFHAGE
Active
Individual
LIZAMAR S KORFHAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9101825
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100869800
—
FL
01
—
E7845W
MEDICARE
FL
Enumeration date
02/17/2006
Last updated
10/21/2019
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