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Individual

DR. LISA R ANTHONY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-8700
Mailing address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-8700

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
40802-20
WI
207R00000X
Internal Medicine Physician
ME85235
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
40802
MEDICAL LICENSE NUMBER
WI
01
ME85235
MEDICAL LICENSE NUMBER
FL
Enumeration date
02/22/2006
Last updated
10/23/2012
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