Individual
MS. LISA SEMELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.P.T.
Contact information
Practice address
734 E LANCASTER AVE, VILLANOVA, PA 19085-1325
(610) 964-1700
(610) 688-2000
Mailing address
420 BAINBRIDGE ST, PHILADELPHIA, PA 19147-1568
(215) 629-3837
(215) 629-5531
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT010142L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000810593243
PHCS
PA
01
—
1394051
BC/BS PPO
PA
01
—
2083306000
BC/BS HMO
PA
01
—
7311639
AETNA
PA
Enumeration date
08/02/2005
Last updated
04/17/2008
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