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Individual

DR. LISA M SCHOLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OD

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OE007527T
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
532131
AETNA
01
SC511600
HIGHMARK BLUE SHIELD
Enumeration date
11/02/2005
Last updated
03/28/2008
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