Individual
DR. LISA M RAINEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
215 LEDGE LN, MOUNTAIN TOP, PA 18707-1960
(570) 474-0629
Mailing address
1533 COMMERCE AVE, STE 1, CARLISLE, PA 17015-9128
(717) 240-1322
(717) 240-0382
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS004232L
PA
207Q00000X
Family Medicine Physician
OS004232L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000626921
—
PA
01
—
10388095
CAQH
—
Enumeration date
06/08/2006
Last updated
06/07/2016
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