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Individual

DR. LISA T NEWSOME

Active
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Individual

DR. LISA T NEWSOME

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
9401068
NC
1223G0001X
General Practice Dentistry
9401068
NC
207L00000X
Anesthesiology Physician
036167627
IL
207L00000X
Anesthesiology Physician
Primary
9401068
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8982439
NC
Enumeration date
12/13/2005
Last updated
01/09/2024
Update your record

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