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Individual

LISA ANN RYNN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3601 A ST, OFFICE OF MEDICAL AND ACADEMIC AFFAIR, PHILADELPHIA, PA 19134-1043
(215) 427-5127
(215) 427-4805
Mailing address
4055 RIDGE AVE, APT 1305, PHILADELPHIA, PA 19129-1576
(412) 720-7483

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MT196035
PA

Other

Enumeration date
06/24/2009
Last updated
06/24/2009
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