Individual
LISA R KEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5675 N FRONT ST STE 141, PHILADELPHIA, PA 19120-2719
(267) 428-6575
Mailing address
1395 NW 167TH ST, MIAMI GARDENS, FL 33169-5710
(267) 428-6575
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS019771
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7699107
—
NJ
Enumeration date
08/30/2006
Last updated
10/14/2021
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