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Individual

DR. LISA M PEREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
303 BOMBAY LN, ROSWELL, GA 30076-5816
(678) 869-5158
(678) 869-5159
Mailing address
397 CHURCHILL HUBBARD RD, YOUNGSTOWN, OH 44505-1375
(330) 759-6750
(330) 759-6755

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
048698
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
52806860005
BCBS OF GEORGIA
GA
Enumeration date
07/27/2006
Last updated
09/19/2013
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