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Individual

LISA P ABRAHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
110 CHADWICK SQUARE CT STE A, HENDERSONVILLE, NC 28739-3238
(828) 698-8135
(828) 698-8518
Mailing address
711 TROY SCHENECTADY RD, SUITE 203, LATHAM, NY 12110-2442
(518) 782-3700
(518) 782-3799

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2018-00393
NC
2084E0001X
Epilepsy Physician
2018-00393
NC
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
2018-00393
NC
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
256386
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02974954
NY
Enumeration date
01/22/2008
Last updated
11/13/2024
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