Individual
MS. LISA A TICKERHOOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
VA PITTSBURGH, UNIVERSITY DRIVE C, PITTSBURGH, PA 15240
(412) 688-6155
(412) 688-6942
Mailing address
VA PITTSBURGH, UNIVERSITY DRIVE C, PITTSBURGH, PA 15240
(412) 688-6155
(412) 688-6942
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA003281L
PA
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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