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LISA S PAIR

>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1255444899

Individual Registrant:
 LISA S PAIR 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
619 19TH STREET SOUTH  BIRIMINGHAM, AL 35233 US
Tel: 205-934-6600  Fax: --

Contact information for business:
P O BOX 55310  BIRMINGHAM, AL 35255-5310 US
Tel: --  Fax: --

Registration Information:
NPI: 1255444899
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
AL1045267

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BCBS OF AL48985AL01
VIVAS90579AL01




HEALTH CARE JOBS AL - Page 1



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