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Individual

LISA XIAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4708 5TH AVE, BROOKLYN, NY 11220-1210
(718) 576-2959
(718) 228-4240
Mailing address
PO BOX 746087, ATLANTA, GA 30374-6087
(312) 733-9730

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
306561
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/30/2017
Last updated
06/25/2024
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