Individual
DR. LISETTE TRIANA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 BLACK HORSE HILL ROAD, VA MEDICAL CENTER BUILDING 2, COATESVILLE, PA 19320-2096
(610) 383-0289
(610) 543-1738
Mailing address
194 WEST SPROUL ROAD, SUITE 105, COATESVILLE VAMC: SPRINGFIELD CBOC, SPRINGFILED, PA 19064
(610) 383-0289
(610) 543-1738
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD039876E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011842990008
—
PA
Enumeration date
12/06/2005
Last updated
03/30/2017
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