| NPI | 1003809450 |
|---|---|
| Former Name | LISA A COSTARIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: NJ 25MB11582500) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: PA OS007618L) |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: IL 036162516) | |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: IN 02005078A) | |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: FL OS14219) | |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: AZ 007179) | |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: WA OP60707874) | |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: CO DR.0068878) | |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: NV DO3188) | |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: CA 18636) | |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2024-09-24 |