Individual
DEE ANN S LISBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA, PHILADELPHIA, PA 19104
(215) 590-1000
(215) 561-0959
Mailing address
100 N 20TH ST, CHOP SUITE 301, PHILADELPHIA, PA 19103-1443
(215) 567-2422
(215) 561-0959
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD052992L
PA
2080N0001X
Neonatal-Perinatal Medicine Physician
MD052992L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016390020001
—
PA
05
—
7269706
—
NJ
Enumeration date
06/21/2006
Last updated
01/07/2008
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