Individual
LISA S. MERRIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
RS2015-0359
NM
2086S0127X
Trauma Surgery Physician
Primary
MED-PHYS-LIC-91732
MT
Other
Enumeration date
06/25/2013
Last updated
07/13/2023
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