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Individual

MS. LISA STACY THARLER

Active
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Individual

MS. LISA STACY THARLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC10850
CA
207R00000X
Internal Medicine Physician
Primary
296320
NY
208000000X
Pediatrics Physician
296320
NY
208M00000X
Hospitalist Physician
296320
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05431883
NY
Enumeration date
04/21/2006
Last updated
04/11/2019
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