Individual
DR. LISA M GANGAROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
CB # 7080, UNC, CHAPEL HILL, NC 27599-0001
(919) 966-6000
(919) 966-6842
Mailing address
CB #7080, UNC, CHAPEL HILL, NC 27599
(919) 966-6000
(919) 966-6842
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
20011339
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891298F
—
NC
Enumeration date
11/08/2006
Last updated
01/28/2008
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