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General NPI Number Information
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NPI Number | 1750920526
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Entity Type | Organization
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Legal Business Name | LISA MAKRIDES, MD, PC
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Dates
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Enumeration Date | 12/27/2019
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Last Update Date | 01/17/2020
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Provider Practice Location Address
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Address Line | 1887 LITITZ PIKE STE 3
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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 | 717-947-4325
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Fax | 717-947-4536
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Provider Business Mailing Address
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Address Line | 28 PINTAIL TURN
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City | LITITZ
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State | PA
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Zip | 17543-8373
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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 | OWNER
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Name | LISA MAKRIDES
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Credential | MD
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Telephone | 917-414-2886
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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 |
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License Number State |
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