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Individual
LISA M JUDGE
Active
Individual
LISA M JUDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M D
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME0068524
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00635454
RR MEMBER PTAN
—
Enumeration date
02/28/2006
Last updated
07/15/2024
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