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Individual

LISA MICHELLE SUTTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3533 S ALAMEDA ST, CORPUS CHRISTI, TX 78411-1721
(361) 694-5427
(361) 808-2142
Mailing address
3533 S ALAMEDA ST, CORPUS CHRISTI, TX 78411-1721
(361) 694-5427
(361) 808-2142

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
P3252
TX
207ZP0213X
Pediatric Pathology Physician
Primary
P3252
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3135907
TX
Enumeration date
07/18/2007
Last updated
08/19/2022
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