Individual
LISA P ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
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
Update your record
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