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Individual

DR. LISA SPEAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1020 SANSOM ST, STE 239, PHILADELPHIA, PA 19107-5002
(215) 955-6844
(215) 955-2526
Mailing address
1020 SANSOM ST, STE 239, PHILADELPHIA, PA 19107-5002
(215) 955-6844
(215) 955-2526

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036.119481
IL
207P00000X
Emergency Medicine Physician
Primary
MD439755
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0239232
NJ
05
102501320
PA
Enumeration date
11/01/2007
Last updated
11/23/2010
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