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Individual
LISA MARIE BLOCK
Active
Individual
LISA MARIE BLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
63919
WI
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
DR.0064184
CO
Other
Enumeration date
04/30/2013
Last updated
05/19/2020
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