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1962559724
LISA I THEBNER
BRONX, NY
NPI
1962559724
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2080P0204X Pediatrics, Pediatric Emergency Medicine
(Licence: NY 221300)
Enumeration Date
2007-01-04
Last Update Date
2007-07-08
Business Address
LISA I THEBNER MD
3415 BAINBRIDGE AVENUE CHAM
BRONX, NY 10467
Phone number: 718-741-2150
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Mailing Address
LISA I THEBNER MD
24 ELDERBERRY LN
VALLEY STREAM, NY 11581-1739
Phone number: 718-741-2150
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