Lisa Jill Doherty in Walnutport - Family Medicine

Lisa Jill Doherty - NPI 1447356357

Lisa Jill Doherty is a Family Medicine in Walnutport, Pennsylvania. Lisa Jill Doherty practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Lisa Jill Doherty is 1447356357. The last update date is 2012-10-19.

Lisa Jill Doherty's current location address is 330 N. Best Ave., Walnutport, Pennsylvania. You can contact this provider via phone number 6107608080 and fax number 6107608148. The mailing address for Lisa Jill Doherty is 330 N. Best Ave., Walnutport, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Lisa Jill Doherty
Address 330 N. Best Ave., Walnutport, Pennsylvania
Phone Number 6107608080
Fax Number 6107608148
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1447356357
Provider Enumeration Date 2006-09-16
Last Updated Date 2012-10-19

Provider Mailing Address Detail

Address 330 N. Best Ave.
City Walnutport
State Pennsylvania (PA)
Post Code 180881205
Phone Number 6107608080
Fax Number 6107608148

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No OS008045L
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
15096280008 PA --

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FAQs about Lisa Jill Doherty

What is the unique identifier code issued to Lisa Jill Doherty by the Centers for Medicare & Medicaid Services (CMS)?

The Lisa Jill Doherty has been assigned the NPI (National Provider Identifier) 1447356357. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Lisa Jill Doherty is physically located?

The Lisa Jill Doherty is physically situated at the following address: 330 N. Best Ave., Walnutport, PA, 180881205.

What is the Lisa Jill Doherty's specialty and taxonomy code?

The Lisa Jill Doherty's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1447356357 to Lisa Jill Doherty?

The Lisa Jill Doherty received its 1447356357 assignment from the Centers for Medicare & Medicaid Services on 2006-09-16.

As of what date was the information regarding Lisa Jill Doherty, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Lisa Jill Doherty, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-10-19.

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