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Individual

LISA FOSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
205 WEST CARACAS AVENUE, SUITE 101, HERSHEY, PA 17033
(717) 298-6280
(717) 298-6283
Mailing address
205 WEST CARACAS AVENUE, SUITE 101, HERSHEY, PA 17033
(717) 298-6280
(717) 298-6283

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD074182L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01860016
PA
01
02257201
CAPITAL BLUE CROSS
PA
01
2102580
CIGNA BEHAVIORAL HEALTH
PA
01
274011000
MAGELLAN
PA
01
295653
MAMSI
PA
01
455634
VALUE OPTIONS
PA
01
611565
BC/BS OF MD CARE FIRST
PA
01
FO1310657
PA BLUE SHIELD
PA
01
P00057412
MEDICARE RAILROAD
PA
Enumeration date
06/22/2006
Last updated
12/17/2014
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