Individual
LEA MICHELLE ISAAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1088 W BALTIMORE PIKE, HCCII SUITE 2303, MEDIA, PA 19063-5139
(610) 627-4400
(610) 627-4408
Mailing address
1098 W BALTIMORE PIKE, HCCII SUITE 2303, MEDIA, PA 19063-5139
(610) 627-4400
(610) 627-4408
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
OS014390
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
440771
MLHC MEDICARE AA
PA
Enumeration date
05/06/2007
Last updated
12/16/2016
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