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Individual

LISA MICHELA PARRILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2855 E MAGIC VIEW DR, MERIDIAN, ID 83642-6245
(208) 639-4900
(208) 639-4901
Mailing address
2855 E MAGIC VIEW DR, MERIDIAN, ID 83642-6245
(208) 639-4900

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
DR.0056312
CO
208800000X
Urology Physician
Primary
M-13798
ID

Other

Enumeration date
05/12/2011
Last updated
11/30/2023
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