| NPI | 1710138755 |
|---|---|
| Former Name | LISA MASCIANTONIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS018188) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101025286) |
| 207Q00000X Family Medicine (Licence: NJ 25MB10740100) | |
| 207Q00000X Family Medicine (Licence: NY 302800) | |
| 207Q00000X Family Medicine (Licence: VT 032.0133896) | |
| 207Q00000X Family Medicine (Licence: TX S5130) | |
| 207Q00000X Family Medicine (Licence: NC 2020-00363) | |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2020-03-06 |