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1669560595
LISA M BANTA
BOSTON, MA
NPI
1669560595
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: MA 230248)
Enumeration Date
2006-10-10
Last Update Date
2007-07-08
Business Address
LISA M BANTA M.D.
TUFTS NEW ENGLAND MEDICAL CENTER 750 WASHINGTON STREET, BOX 298
BOSTON, MA 02111
Phone number: 617-636-6044
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Mailing Address
LISA M BANTA M.D.
TUFTS NEW ENGLAND MEDICAL CENTER 750 WASHINGTON STREET, BOX 298
BOSTON, MA 02111
Phone number: 617-636-6044
Copy
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