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Individual
DR. LISA E FLETCHER
Active
Individual
DR. LISA E FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
11049
FL
1223G0001X
General Practice Dentistry
Primary
11709
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11049
LICENSE NUMBER
FL
01
—
529529
UNITED CONCORDIA INS CO
FL
01
—
67946
BLUE CROSS BLUE SHIELD FL
FL
Enumeration date
10/10/2006
Last updated
11/18/2022
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