Organization
DELISSER MEDICAL AND CONSULTING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWTON O DELISSER MD (OWNER)
(610) 841-0400
Entity
Organization
Contact information
Practice address
2095 DEEP MEADOW LN, LANSDALE, PA 19446-7409
(610) 841-0400
Mailing address
3420 WALBERT AVE, SUITE 201, ALLENTOWN, PA 18104-1700
(610) 841-0400
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD070002L
PA
Other
Enumeration date
10/18/2013
Last updated
12/05/2013
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