Bruce Lizerbram in Philadelphia - Family Medicine
Bruce Lizerbram - NPI 1992913016
Bruce Lizerbram is a Family Medicine in Philadelphia, Pennsylvania. Bruce Lizerbram practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Bruce Lizerbram is 1992913016. The last update date is 2011-05-10.
Bruce Lizerbram's current location address is 14200 Bustleton Ave, Philadelphia, Pennsylvania. You can contact this provider via phone number 2155147986 and fax number 2154930752. The mailing address for Bruce Lizerbram is 14200 Bustleton Ave, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Lizerbram |
|---|---|
| Address | 14200 Bustleton Ave, Philadelphia, Pennsylvania |
| Phone Number | 2155147986 |
| Fax Number | 2154930752 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1992913016 |
|---|---|
| Provider Enumeration Date | 2007-05-21 |
| Last Updated Date | 2011-05-10 |
Provider Mailing Address Detail
| Address | 14200 Bustleton Ave |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191161186 |
| Phone Number | 2155147986 |
| Fax Number | 2154930752 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | OS-005235-L |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique 10-digit identifier code issued to Bruce Lizerbram by the Centers for Medicare & Medicaid Services?
The Bruce Lizerbram has been assigned the NPI (National Provider Identifier) 1992913016 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Bruce Lizerbram's facilities are geographically located?
The facilities of Bruce Lizerbram are physically situated at the following location: 14200 Bustleton Ave, Philadelphia, PA, 191161186.
What is the area of specialization for Bruce Lizerbram, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Bruce Lizerbram is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1992913016 to Bruce Lizerbram?
The Centers for Medicare & Medicaid Services assigned the 1992913016 to Bruce Lizerbram on 2007-05-21.
As of what date were the Bruce Lizerbram's details last updated?
The information pertaining to the Bruce Lizerbram, including its address, specialty, and other details, was most recently updated on 2011-05-10.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY