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NPI Code Detail

MEDICARE: LISA BESSER MD

MEDICARE: LISA BESSER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianMD056235LPA

General Provider Information

NPI Number : 1043208440
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA BESSER MD
Provider Business Mailing Address
First Line : 11279 PERRY HWY
Second Line : SUITE 450
City : WEXFORD
State : PA
Zip : 15090-9381
Country : US
Telephone Number : 724-933-1100
Fax Number : 724-933-1160
Provider Business Practice Location Address
First Line : 200 VILLAGE DR
Second Line : SUITE B
City : GREENSBURG
State : PA
Zip : 15601-3783
Country : US
Telephone Number : 724-832-0850
Fax Number : 724-832-1623
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2005
Last Update Date : 03/25/2010

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Directions to “ LISA BESSER MD” Practice Location

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