Individual
DR. AMY K LANSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1919 WALNUT ST, PHILADELPHIA, PA 19103-4609
(215) 564-2800
(215) 564-3097
Mailing address
PO BOX 30537, PHILADELPHIA, PA 19103-8537
(215) 564-2800
(215) 564-3097
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
MD030479E
PA
2085N0904X
Nuclear Radiology Physician
MD030479E
PA
2085R0202X
Diagnostic Radiology Physician
MD030479E
PA
2085U0001X
Diagnostic Ultrasound Physician
MD030479E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0057539000
KEYSTONE HMO
PA
01
—
0110566010
AMERICHOICE
PA
05
—
0110566010
—
PA
01
—
1164010
KEYSTONE
PA
01
—
1194836221
TRICARE
PA
01
—
LA480481
BCBS
PA
Enumeration date
08/31/2006
Last updated
03/03/2008
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