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NPI Code Detail

MEDICARE: MRS. LISA MARIE POPE LCSW

MEDICARE: MRS. LISA MARIE POPE LCSW
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
11041C0700XClinical Social WorkerCW013855PA

General Provider Information

NPI Number : 1043282635
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LISA MARIE POPE LCSW
Provider Business Mailing Address
First Line : 1 NORTHGATE SQ
Second Line :
City : GREENSBURG
State : PA
Zip : 15601-1341
Country : US
Telephone Number : 724-834-9305
Fax Number : 724-834-9305
Provider Business Practice Location Address
First Line : 1 NORTHGATE SQ
Second Line :
City : GREENSBURG
State : PA
Zip : 15601-1341
Country : US
Telephone Number : 724-834-9305
Fax Number : 724-834-9305
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. LISA MARIE POPE LCSW” Practice Location

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