Individual provider · Type 1 NPI

Rebecca Lisak

Specialist · Philadelphia, PA

NPI number 1134526544 Active

Practice location

2007 Chestnut St, Suite 1
Philadelphia, PA 19103-3318

Call (267) 235-4759 Map

Mailing address

2046 Pine St
Philadelphia, PA 19103-6536

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMSG004828 (PA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1134526544

Rebecca Lisak's National Provider Identifier is 1134526544, issued on Dec 1, 2014. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Philadelphia, PA. The record was last updated on Dec 1, 2014.