Individual
DR. LISA A. JAMNBACK
Active
Individual
DR. LISA A. JAMNBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD042859L
PA
2084P0804X
Child & Adolescent Psychiatry Physician
MD042859L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014118240003
—
PA
05
—
0911062
—
OH
05
—
3810009533
—
WV
Enumeration date
08/02/2005
Last updated
10/13/2016
Update your record
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