Individual
LISA KEGLOVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4905 W TILGHMAN ST, SUITE 250, ALLENTOWN, PA 18104-9130
(484) 866-9583
(610) 366-1147
Mailing address
4905 W TILGHMAN ST, SUITE 250, ALLENTOWN, PA 18104-9130
(484) 866-9583
(610) 366-1147
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD070447L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000114004
THREE RIVERS
PA
05
—
0017889510005
—
PA
01
—
0097129
KEYSTONE CENTRAL
PA
01
—
01788951
GATEWAY
PA
01
—
0794395000
INDEP. BLUE CROSS
PA
01
—
1122711
AMERIHEALTH MERCY
PA
01
—
30000871
KEYSTONE MERCY
PA
01
—
97129
HIGHMARK
PA
Enumeration date
10/12/2005
Last updated
02/27/2014
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