Individual provider · Type 1 NPI

Lisa Mak, CRNP

Adult Health Nurse Practitioner · Philadelphia, PA

NPI number 1396396560 Active

Practice location

3401 N Broad St
Philadelphia, PA 19140-5103

Call (215) 707-4000 Map

Fax (215) 707-5066

Mailing address

2450 W Hunting Park Ave
Philadelphia, PA 19129-1302

Other practice locations

  • 333 Cottman Ave, Philadelphia, PA 19111-2434 · (215) 214-1600

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XSP020797 (PA)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1396396560

Lisa Mak, CRNP's National Provider Identifier is 1396396560, issued on Sep 27, 2019. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Philadelphia, PA. The record was last updated on Dec 20, 2019.