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1316905235
LISA SHANE
LONG BEACH, CA
NPI
1316905235
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: CA G078893)
Enumeration Date
2006-05-02
Last Update Date
2012-01-11
Business Address
-- LISA SHANE M.D.
2801 ATLANTIC AVE
LONG BEACH, CA 90806-1737
Phone number: 562-933-0713
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Mailing Address
-- LISA SHANE M.D.
17601 RAINGLEN LN
HUNTINGTON BEACH, CA 92649-4727
Phone number: 714-377-5817
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