Individual
MRS. LISA M. TKACHENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
410 N KROCKS RD, ALLENTOWN, PA 18106-9283
(888) 982-8594
(888) 920-1525
Mailing address
PO BOX 159, BARRINGTON, NJ 08007-0159
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA053629
PA
Other
Enumeration date
09/22/2008
Last updated
07/31/2024
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