Individual
LISA H HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3855 W CHESTER PIKE STE 245, NEWTOWN SQUARE, PA 19073
(610) 325-3880
(610) 325-3887
Mailing address
3855 W CHESTER PIKE STE 245, NEWTOWN SQUARE, PA 19073-2304
(610) 325-3880
(610) 325-3887
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA003377L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220259YEXC
MEDICARE PTAN
PA
Enumeration date
09/27/2006
Last updated
06/15/2018
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