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Individual

DR. LISA CATHERINE TRICARICO

Active
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Individual

DR. LISA CATHERINE TRICARICO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS010595L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018711180001
—
PA
01
—
002588
AETNA
PA
01
—
002626
FIRST PRIORITY HEALTH CAP
PA
01
—
050615
MEDICARE ID - 050615
PA
01
—
1310719
FIRST PRIORITY LIFE
PA
01
—
2342215000
BS PERSONAL CHOICE
—
01
—
340964
PHS
PW
01
—
65252 E187
GEISINGER GOLD
PA
01
—
H47131
STERLING
PA
Enumeration date
04/20/2006
Last updated
04/11/2008
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