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General NPI Number Information
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NPI Number | 1508861014
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Entity Type | Individual
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Provider Name | LISA MAKRIDES MD
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Gender | Female
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Dates
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Enumeration Date | 06/21/2005
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Last Update Date | 09/12/2024
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Provider Practice Location Address
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Address Line | 1887 LITITZ PIKE STE 1
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City | LANCASTER
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State | PA
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Zip | 17601-6516
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Country | US
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Telephone | 917-414-2886
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Fax | 717-947-4536
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Provider Business Mailing Address
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Address Line | 1887 LITITZ PIKE STE 1
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City | LANCASTER
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State | PA
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Zip | 17601-6516
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Country | US
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Telephone | 917-414-2886
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Fax | 717-947-4536
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | MD453766
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 219993
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License Number State | NY
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