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Mrs. Lisa Amy Friedman

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NPI Number Detailed Information

Provider Information:

Name: Mrs. Lisa Amy Friedman
Gender: F
Provider License Number If Given: 662780

NPI Information:

NPI: 1619970662
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/23/2005

Last Update Date: 2/16/2015

Provider Business Mailing Address:

Address: 315 N SAN SABA SUITE 1135
San Antonio, TX 78207
Phone Number: 2107042190
Fax Number:

Provider Business Practice Location Address:

Address: 333 N SANTA ROSA
San Antonio, TX 78207
Phone Number: 2107042190
Fax Number:

Provider Taxonomy:

Primary: 363LP0200X
Secondary (if any):
State: TX

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