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Individual
DR. MICHELE ALISA DI LAURO
Active
Individual
DR. MICHELE ALISA DI LAURO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10917
NV
207Q00000X
Family Medicine Physician
25MA06943800
NJ
207Q00000X
Family Medicine Physician
MD437131
PA
207QA0401X
Addiction Medicine (Family Medicine) Physician
25MA06943800
NJ
207QA0401X
Addiction Medicine (Family Medicine) Physician
MD437131
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100503279
—
NV
05
—
100503659
—
NV
Enumeration date
02/15/2006
Last updated
03/05/2019
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