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Lisa Thottumari, MD
Student in an Organized Health Care Education/Training Program in Stony Brook, New York
NPI 1215687470

Lisa Thottumari is a Student in an Organized Health Care Education/Training Program based in Stony Brook, NY. Lisa Thottumari practices in Stony Brook, NY and has the professional credentials of MD. The NPI Number for Lisa Thottumari is 1215687470 and holds a License No. (New York).

The current practice location address for Lisa Thottumari is 101 Nicolls Rd Rm 40, Stony Brook, NY and can be reached out via phone at 631-444-2020 and via fax at 631-444-2894.

Location: 101 Nicolls Rd Rm 40, Stony Brook, NY, 11794-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215687470
Provider Name
Lisa Thottumari
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
101 Nicolls Rd Rm 40, Stony Brook, NY, 11794-0001
Phone Number
631-444-2020
Fax Number
631-444-2894
Provider Enumeration Date
03/28/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 Nicolls Rd Rm 40
City
Stony Brook
State
New York
Zip
11794-0001
Phone Number
631-444-2020
Fax Number
631-444-2894
person
Provider Business Mailing Address Details
Address
101 Nicolls Rd Rm 40
City
Stony Brook
State
New York
Zip
11794-0001
Phone Number
631-444-2020
Fax Number
631-444-2894
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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