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1275743684
LISA D ORTIZ
SALLISAW, OK
NPI
1275743684
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OK 25970)
Enumeration Date
2007-05-23
Last Update Date
2008-04-23
Business Address
-- LISA D ORTIZ M.D.
301 J T STITES BLVD REDBIRD SMITH HEALTH CENTER
SALLISAW, OK 74955-9302
Phone number: 918-775-9159
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Mailing Address
-- LISA D ORTIZ M.D.
1483 DEER RUN DR
FORT GIBSON, OK 74434-9351
Phone number: 918-478-2267
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