Individual
DR. LISA FAIRMAN PFINGSTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
105 BEAVER DRIVE, SUITE 200, DUBOIS, PA 15801-2515
(814) 371-7546
(814) 371-1906
Mailing address
105 BEAVER DRIVE, SUITE 200, DUBOIS, PA 15801-2515
(814) 371-7546
(814) 371-1906
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD453398
PA
363AM0700X
Medical Physician Assistant
MA052897
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1076165
NCCPA CERTIFICATE
PA
Enumeration date
04/26/2007
Last updated
08/21/2025
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