Individual
LISA SEGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
800 SPRUCE ST, 1 PINE WEST, PHILADELPHIA, PA 19107
(215) 829-7407
Mailing address
10800 KNIGHTS RD, PHILADELPHIA, PA 19114-4200
(215) 612-4000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA054387
PA
Other
Enumeration date
07/06/2010
Last updated
08/09/2019
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