Individual
DR. LISA A VEACH
Active
Individual
DR. LISA A VEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
24283
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0067660
—
IA
05
—
1043217748
—
IA
01
—
440000457
RR MEDICARE
IA
Enumeration date
07/07/2005
Last updated
05/22/2012
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