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Individual
LISA REALE
Active
Individual
LISA REALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME 99408
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281315700
—
FL
Enumeration date
04/22/2008
Last updated
01/30/2022
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