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Individual

LISA LOUISE RUBIN HARTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
DR.0065428
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
171353901
TX
05
171353903
TX
05
171353905
TX
05
190685101
TX
01
8BQ023
BCBS
TX
Enumeration date
09/04/2008
Last updated
01/29/2021
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