Individual
MS. TARA LEWIS FITZPATRICK
Active
Individual
MS. TARA LEWIS FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
17120
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51532109
BLUE CROSS BLUE SHIELD
AL
Enumeration date
10/04/2006
Last updated
06/12/2008
Update your record
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