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Individual

J. DORIS LEBISCHAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
12 PAINTERS LN, CHESTERBROOK, PA 19087-5504
(610) 651-0993
(610) 651-0993
Mailing address
12 PAINTERS LN, CHESTERBROOK, PA 19087-5504
(610) 651-0993
(610) 651-0993

Taxonomy

Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
MD039935L
PA
2084P0800X
Psychiatry Physician
MD039935L
PA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD039935L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7501230
PA
Enumeration date
12/16/2005
Last updated
06/03/2010
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