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Individual
DR. ALISSA ICE
Active
Individual
DR. ALISSA ICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1831658020
LA
207R00000X
Internal Medicine Physician
329986
LA
207RN0300X
Nephrology Physician
Primary
1831658020
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/18/2019
Last updated
08/01/2025
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