Individual
LISA JEANNETTE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6400 BROOKTREE CT STE 100&120, WEXFORD, PA 15090-9271
(412) 785-1057
Mailing address
9600 BLACKWELL RD STE 500, ROCKVILLE, MD 20850-3783
(412) 785-1057
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
51441
SC
207V00000X
Obstetrics & Gynecology Physician
MD489524
PA
207VE0102X
Reproductive Endocrinology Physician
51441
SC
207VE0102X
Reproductive Endocrinology Physician
Primary
MD489524
PA
Other
Enumeration date
06/16/2010
Last updated
06/05/2025
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