Individual
LISA MARIE RAIBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1034 GROVE ST, MEADVILLE, PA 16335-2945
(814) 333-7016
(814) 333-1757
Mailing address
751 LIBERTY ST, MEADVILLE HOSPITALIST SERVICES, MEADVILLE, PA 16335-2559
(814) 333-7016
(814) 333-1757
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS014551
PA
208M00000X
Hospitalist Physician
Primary
OS014551
PA
390200000X
Student in an Organized Health Care Education/Training Program
OT011268
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002064850
HIGHMARK
PA
05
—
1022492000001
—
PA
01
—
412485
UPMC
PA
01
—
CN1527
RR MEDICARE PTAN
PA
Enumeration date
01/10/2008
Last updated
04/06/2015
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