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Individual

LISA PHARIS ALLARDICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
205 CALUMET CENTER RD, LAGRANGE, GA 30241-6711
(706) 885-1961
(706) 885-1963
Mailing address
205 CALUMET CENTER RD, LAGRANGE, GA 30241-6711
(706) 885-1961
(706) 885-1963

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
038421
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00612587C
GA
Enumeration date
07/11/2006
Last updated
03/29/2011
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