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Individual

DR. LISA ANN BISHARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(843) 777-2000
Mailing address
3100 SPRING FOREST RD, SUITE 130, RALEIGH, NC 27616-2880
(919) 882-0705
(919) 873-9821

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
23273
SC
207LP2900X
Pain Medicine (Anesthesiology) Physician
23273
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
232732
SC
Enumeration date
01/23/2006
Last updated
12/21/2016
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