Individual
LISA I MANSUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
20419
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025031300
—
NE
01
—
P00057124
RAILROAD MEDICARE
NE
01
—
P00057124
RR MEDICARE
—
Enumeration date
06/05/2006
Last updated
02/26/2015
Update your record
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