Organization
LISA M. NATH, M.D. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M NATH M.D. (PHYSICIAN/OWNER)
(412) 734-5022
Entity
Organization
Contact information
Practice address
575 LINCOLN AVE, SUITE 204, BELLEVUE, PA 15202-3550
(412) 734-5022
(412) 766-1316
Mailing address
575 LINCOLN AVE, SUITE 204, BELLEVUE, PA 15202-3550
(412) 734-5022
(412) 766-1316
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD062104L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016491610008
—
PA
Enumeration date
12/04/2007
Last updated
12/04/2007
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