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NPI Code Detail

MEDICARE: LISA MIA HOHL DO

MEDICARE:   LISA MIA HOHL  DO
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
1207Q00000XFamily Medicine PhysicianNV712NV

General Provider Information

NPI Number : 1952361560
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA MIA HOHL DO
Provider Business Mailing Address
First Line : 79 LOST MOUNTAIN CT
Second Line :
City : HENDERSON
State : NV
Zip : 89074-1755
Country : US
Telephone Number : 702-671-1000
Fax Number :
Provider Business Practice Location Address
First Line : 525 MARKS ST
Second Line :
City : HENDERSON
State : NV
Zip : 89014-6654
Country : US
Telephone Number : 702-671-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2006
Last Update Date : 07/08/2007

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Directions to “ LISA MIA HOHL DO” Practice Location

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