Individual
MS. LISA M. HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5501 OLD YORK RD, DEPARTMENT OF MEDICINE - KLEIN 363, PHILADELPHIA, PA 19141-3018
(215) 456-6527
(215) 455-1933
Mailing address
5501 OLD YORK RD, DEPARTMENT OF MEDICINE - KLEIN 363, PHILADELPHIA, PA 19141-3018
(215) 456-6527
(215) 455-1933
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA051615
PA
363AM0700X
Medical Physician Assistant
Primary
MA051615
PA
Other
Enumeration date
05/18/2007
Last updated
09/10/2015
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