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1659489532
LISA K LAXSON
TERRE HAUTE, IN
NPI
1659489532
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 01061236A)
Enumeration Date
2006-08-29
Last Update Date
2007-09-26
Business Address
-- LISA K LAXSON M.D.
5500 S US HIGHWAY 41
TERRE HAUTE, IN 47802-4745
Phone number: 812-232-0564
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Mailing Address
-- LISA K LAXSON M.D.
221 S 6TH ST
TERRE HAUTE, IN 47807-4214
Phone number: 812-232-0564
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