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Individual

DR. LISA R HEARING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1002 S OLD DIXIE HWY, #303, JUPITER, FL 33458-7202
(561) 744-8319
(561) 744-6607
Mailing address
1002 S OLD DIXIE HWY, #303, JUPITER, FL 33458-7202
(561) 744-8319
(561) 744-6607

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME65733
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
28888
BLUE CROSS
FL
Enumeration date
07/11/2006
Last updated
11/23/2011
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