Individual
LISA A PLAZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4402 SHIPYARD BLVD, WILMINGTON, NC 28403-6161
(910) 452-1400
(910) 791-9626
Mailing address
4402 SHIPYARD BLVD, WILMINGTON, NC 28403-6161
(910) 452-1400
(910) 791-9626
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2008-01192
NC
207P00000X
Emergency Medicine Physician
35050027
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1504T
BCBSNC
NC
Enumeration date
08/18/2005
Last updated
12/01/2009
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