Individual
DR. LISA BARBARA WALLENSTEIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
210 SUNRISE LN, PHILADELPHIA, PA 19118-3934
(215) 242-1649
(215) 242-8348
Mailing address
210 SUNRISE LN, PHILADELPHIA, PA 19118-3934
(215) 242-1649
(215) 242-8348
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD024754E
PA
Other
Enumeration date
05/31/2006
Last updated
07/08/2007
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