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Individual

M. LISA ATTEBERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C2-0012056
DE
208600000X
Surgery Physician
OS013314
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01077798300
AMERICHOICE
NJ
01
1349602
AETNA
NJ
01
2761458
UNITED HEALTHCARE
NJ
01
5733135
CIGNA
NJ
01
60026355
HORIZON NJ HEALTH
NJ
01
P00402266
RR MEDICARE
NJ
01
P3723047
OXFORD
NJ
Enumeration date
08/20/2006
Last updated
06/22/2020
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