Individual
LISA CAROL AMIOTTE
Active
Individual
LISA CAROL AMIOTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5512
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7101860
—
SD
05
—
7102820
—
SD
Enumeration date
02/07/2006
Last updated
01/25/2011
Update your record
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