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1225698566
LISA LY HATA
SANTA CLARA, CA
NPI
1225698566
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Former Name
LISA LY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: CA 196344)
Enumeration Date
2019-06-18
Last Update Date
2024-09-10
Business Address
LISA LY HATA MD
710 LAWRENCE EXPY DEPT 448
SANTA CLARA, CA 95051-5173
Phone number: 408-851-4515
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Mailing Address
LISA LY HATA MD
2673 RIKKARD DR
THOUSAND OAKS, CA 91362-4609
Phone number: 805-558-3894
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