Individual
LISA MARIE BRETZGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 316-5151
Mailing address
130 DUNCAN DR, EFFORT, PA 18330-8036
(570) 350-7930
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA062463
PA
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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