MEDICARE: LISA LESCHEK-GELMAN MD

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	MD061589L	PA
2	2084N0400X	Neurology Physician	C1-0005405	DE
3	2084N0600X	Clinical Neurophysiology Physician	MD061589L	PA
4	2084S0012X	Sleep Medicine (Psychiatry & Neurology) Physician	MD061589L	PA

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1316998545
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA LESCHEK-GELMAN MD

Provider Business Mailing Address
First Line	:	101 E OLNEY AVE STE 400
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19120-2470
Country	:	US
Telephone Number	:	215-456-7000
Fax Number	:	215-456-5926

Provider Business Practice Location Address
First Line	:	1151 OLD YORK RD STE 200
Second Line	:
City	:	ABINGTON
State	:	PA
Zip	:	19001-3816
Country	:	US
Telephone Number	:	215-957-9250
Fax Number	:	215-957-9254

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	08/13/2024

1151 OLD YORK RD STE 200
ABINGTON, PA
19001-3816

Practice Phone: 215-957-9250
Practice Fax:

1151 OLD YORK RD STE 200
ABINGTON, PA
19001-3816