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Individual

DR. LISA K. PERDUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
A.P.

Contact information

Practice address
2298 NW 2ND AVE, SUITE 16, BOCA RATON, FL 33431-6764
(561) 603-6910
Mailing address
2298 NW 2ND AVE, SUITE 16, BOCA RATON, FL 33431-6764
(561) 603-6910

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP1866
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
COO1F
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/27/2006
Last updated
04/22/2014
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