Lisa J States is a Body Imaging in Philadelphia, Pennsylvania. Lisa J States practices all healthcare services and medical treatments related to Body Imaging. The NPI Number for Lisa J States is 1750473591. The last update date is 2013-04-18.
Lisa J States's current location address is 100 E Penn Sq, Philadelphia, Pennsylvania. You can contact this provider via phone number 2674259232 and fax number 2674259299. The mailing address for Lisa J States is 100 E Penn Sq, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa J States |
|---|---|
| Address | 100 E Penn Sq, Philadelphia, Pennsylvania |
| Phone Number | 2674259232 |
| Fax Number | 2674259299 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1750473591 |
|---|---|
| Provider Enumeration Date | 2006-09-29 |
| Last Updated Date | 2013-04-18 |
Provider Mailing Address Detail
| Address | 100 E Penn Sq |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191073323 |
| Phone Number | 2674259232 |
| Fax Number | 2674259299 |
Provider's Primary Taxonomy Detail
| Speciality | Body Imaging |
|---|---|
| Taxonomy | 2085B0100X |
| Licence No | MD052679L |
|
Definition: A Radiology doctor of Osteopathy that specializes in Body Imaging. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000155673(PA) | NJ | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Lisa J States by the Centers for Medicare & Medicaid Services?
The Lisa J States has been assigned the NPI (National Provider Identifier) 1750473591. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Lisa J States?
The Lisa J States is situated at 100 E Penn Sq, in the city of Philadelphia, state of PA, with the zip code 191073323.
What is Lisa J States's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Lisa J States's specialized field of practice is Body Imaging, and the corresponding taxonomy code that categorizes this area of specialization is 2085B0100X.
On what date did the Lisa J States receive the assignment of its 1750473591 from the Centers for Medicare & Medicaid Services?
The Lisa J States was issued its 1750473591 by the Centers for Medicare & Medicaid Services on 2006-09-29.
As of what date was the information regarding Lisa J States, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lisa J States, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-04-18.