Individual
DR. LISA A STAHLECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2410 N BROAD ST, COLMAR, PA 18915-9701
(215) 822-7070
(215) 997-8290
Mailing address
2410 N BROAD ST, COLMAR, PA 18915-9701
(215) 822-7070
(215) 997-8290
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS027426L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27426
DELTA DENTAL
PA
Enumeration date
08/10/2006
Last updated
07/08/2007
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