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Individual

DR. LISA A DIMARZIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
038158
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0001
BCBS
DC
01
0401156
UNITED HEALTHCARE
05
093371600
MD
01
110060518
MEDICARE RAILROAD
MD
01
1496254
UNITED MINE WORKERS ASSOC
01
260077
MDIPA
01
4269169
AETNA
01
52129501
BCBS
MD
01
P0409
PRINCIPLE
01
P11673
BCBS POINT OF SERVICE
Enumeration date
09/20/2006
Last updated
02/03/2010
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