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1215687470
LISA THOTTUMARI
STONY BROOK, NY
NPI
1215687470
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-28
Last Update Date
2022-03-28
Business Address
LISA THOTTUMARI MD
101 NICOLLS RD RM 40
STONY BROOK, NY 11794-0001
Phone number: 631-444-2020
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Mailing Address
LISA THOTTUMARI MD
101 NICOLLS RD RM 40
STONY BROOK, NY 11794-0001
Phone number: 631-444-2020
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