Organization
LISA M. NATH, MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA M NATH MD (PRESIDENT)
(412) 734-5022
Entity
Organization
Contact information
Practice address
575 LINCOLN AVE STE 204, BELLEVUE, PA 15202-3550
(412) 734-5022
(412) 766-1316
Mailing address
PO BOX 16008, PITTSBURGH, PA 15242-0008
(412) 920-5860
(412) 920-5861
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG0008800
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016491610008
—
PA
Enumeration date
07/13/2011
Last updated
07/13/2011
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