Individual
LISA N NEAVYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
253205
MA
207W00000X
Ophthalmology Physician
4301094262
MI
207W00000X
Ophthalmology Physician
Primary
MD24235
ME
Other
Enumeration date
06/29/2009
Last updated
10/12/2023
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