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Individual

LISA C VIOLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
5072
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0040469
BCBS
SD
05
0556001
IA
01
226T4VI
BCBS
MN
05
6100830
SD
05
724489400
MN
Enumeration date
08/01/2006
Last updated
04/07/2011
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