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Individual
DR. LISA MARIE YORK
Active
Individual
DR. LISA MARIE YORK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24012
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1Z9017
HEALTHNET
AZ
05
—
391186
—
AZ
01
—
AZ0740060
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
08/19/2005
Last updated
04/30/2010
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