Individual
DR. LISA MARIE GLEITMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
809 82ND PKWY, MYRTLE BEACH, SC 29572-4607
(843) 692-1720
(843) 692-1793
Mailing address
809 82ND PKWY, MYRTLE BEACH, SC 29572-4607
(843) 692-1720
(843) 692-1793
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
40806
SC
207R00000X
Internal Medicine Physician
Primary
ME126945
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2013
Last updated
07/21/2022
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