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General NPI Number Information
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NPI Number | 1538159991
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Entity Type | Individual
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Provider Name | LISA ANN PEREZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/26/2005
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Last Update Date | 03/03/2010
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Provider Practice Location Address
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Address Line | 7145 PERKINS RD
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City | BATON ROUGE
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State | LA
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Zip | 70808-4322
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Country | US
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Telephone | 225-765-3111
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Fax | 225-765-3114
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Provider Business Mailing Address
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Address Line | PO BOX 790213 SURGICAL ANESTHESIA OF BATON ROUGE LLC
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City | SAINT LOUIS
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State | MO
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Zip | 63179-0213
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Country | US
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Telephone | 636-549-2380
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Fax | 314-569-5974
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | L020650
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License Number State | LA
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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 | L020650
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License Number State | LA
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