Individual
ALEXANDER LOWELL TISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1100 MONTOUR RD, LOYSVILLE, PA 17047-9200
(717) 789-3553
(717) 789-3198
Mailing address
7 DOCK HILL RD, MIDDLEBURG, PA 17842-8910
(570) 837-2123
(570) 837-2185
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
PA
Other
Enumeration date
06/02/2023
Last updated
06/05/2023
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