Organization
AMERICAN COMP.WEIGHT LOSS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA ANN MEDVETZ M.D (OWNER)
(610) 873-1048
Entity
Organization
Contact information
Practice address
719 E LANCASTER AVE, SUITE 705, DOWNINGTOWN, PA 19335-2719
(610) 873-1048
(610) 873-2000
Mailing address
719 E LANCASTER AVE, SUITE 705, DOWNINGTOWN, PA 19335-2719
Taxonomy
Speciality
Code
Description
License number
State
207RB0002X
Obesity Medicine (Internal Medicine) Physician
Primary
MD-060721-L
PA
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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