Individual
DR. LISA GUTTUSO KLENK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1420 WALNUT ST, SUITE 1412, PHILADELPHIA, PA 19102-4017
(215) 735-0218
(215) 790-1096
Mailing address
2206 DELANCEY PL, PHILADELPHIA, PA 19103-6502
(215) 732-3762
(215) 790-1096
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD047322L
PA
Other
Enumeration date
06/21/2007
Last updated
07/08/2007
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