Individual provider · Type 1 NPI

Ellen Segal Lisman, PA-C

Nephrology Physician · Philadelphia, PA

NPI number 1366482531 Active

Practice location

2701 Holme Ave, Suite 203
Philadelphia, PA 19152-2029

Call (215) 331-0515 Map

Fax (215) 331-8144

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XMA003319L (PA)
Nephrology Physician Primary 207RN0300XMA003319L (PA)

Nephrology Physician: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

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About NPI 1366482531

Ellen Segal Lisman, PA-C's National Provider Identifier is 1366482531, issued on Jun 7, 2006. The primary taxonomy on file is Nephrology Physician (207RN0300X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 3, 2010.