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Individual
MICHELLE LYNAE IVERSON
Active
Individual
MICHELLE LYNAE IVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
53547
TN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
A115609
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
U8537
TX
Other
Enumeration date
04/14/2009
Last updated
05/30/2024
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