Individual
LISA VERGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35066
NC
2084P0800X
Psychiatry Physician
Primary
35066
NC
2084P0805X
Geriatric Psychiatry Physician
35066
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8984993
—
NC
Enumeration date
10/03/2006
Last updated
12/06/2019
Update your record
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