Individual provider · Type 1 NPI

Lisa Dicicco, MSN CRNP

Hematology & Oncology Physician · Philadelphia, PA

NPI number 1306643812 Active

Practice location

3400 Civic Center Blvd
Philadelphia, PA 19104-5127

Call (215) 662-4000 Map

Mailing address

10945 Kipling Ln
Philadelphia, PA 19154-4241

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003XSP031736 (PA)

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

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About NPI 1306643812

Lisa Dicicco, MSN CRNP's National Provider Identifier is 1306643812, issued on Mar 3, 2025. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 31, 2025.