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Individual

MICHAEL CLARKE LISH

Active
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Individual

MICHAEL CLARKE LISH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
39298
NC
207R00000X
Internal Medicine Physician
39298
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
132C1
BCBS NC
NC
01
412119
CIGNA
NC
01
7008
PARTNERS
NC
01
85603
MEDCOST
NC
05
89132C1
NC
Enumeration date
09/11/2006
Last updated
12/11/2007
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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