Individual
LISA MARIE D'AMATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A. - C.
Contact information
Practice address
750 W LINCOLN HWY, EXTON, PA 19341-2547
(610) 363-0100
(610) 363-3923
Mailing address
750 W LINCOLN HWY, EXTON, PA 19341-2547
(610) 363-0100
(610) 363-3923
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
OA002076
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OA002076
LICENSE NUMBER
PA
Enumeration date
02/21/2006
Last updated
12/09/2022
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