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NPI Code Detail

MEDICARE: LISA EMRICH MD

MEDICARE: LISA EMRICH MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician2004-00494NC
2207R00000XInternal Medicine Physician200400494NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245320043
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA EMRICH MD
Provider Business Mailing Address
First Line : 2000 PERIMETER PARK DR STE 200
Second Line :
City : MORRISVILLE
State : NC
Zip : 27560-8442
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6013 FARRINGTON RD STE 101
Second Line :
City : CHAPEL HILL
State : NC
Zip : 27517-8173
Country : US
Telephone Number : 984-974-7010
Fax Number : 984-974-7020
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2006
Last Update Date : 05/07/2021

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Directions to “ LISA EMRICH MD” Practice Location

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