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Individual

LISA MARIE CHEVALIER FORGET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
9 E 68TH ST STE 1C, NEW YORK, NY 10065-4998
(212) 575-1457
Mailing address
360 1ST AVE APT 6G, NEW YORK, NY 10010-4920
(440) 665-2408

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
013960
NY
363AM0700X
Medical Physician Assistant

Other

Enumeration date
09/04/2009
Last updated
04/04/2024
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