Individual
LISA M HAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
163 W PENNSYLVANIA AVE, NEW STANTON, PA 15672-9474
(724) 925-2244
Mailing address
163 W PENNSYLVANIA AVE, NEW STANTON, PA 15672-9474
(724) 925-2244
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC005312L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014474510001
—
PA
01
—
1018015
ASHN
PA
05
—
1509124
—
PA
01
—
409060
HEALTH AMERICA
PA
05
—
86284
—
PA
Enumeration date
08/30/2006
Last updated
08/12/2014
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