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NPI Code Detail

MEDICARE: DR. LISA MARIE WITMER MD

MEDICARE: DR. LISA MARIE WITMER 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
1390200000XStudent in an Organized Health Care Education/Training Program207R00000XPA
2208M00000XHospitalist PhysicianMD493832PA
3207R00000XInternal Medicine PhysicianMD493832PA

General Provider Information

NPI Number : 1891498069
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LISA MARIE WITMER MD
Provider Business Mailing Address
First Line : 500 UNIVERSITY DR
Second Line : MC CA410
City : HERSHEY
State : PA
Zip : 17033-2360
Country : US
Telephone Number : 717-531-5208
Fax Number : 717-531-0119
Provider Business Practice Location Address
First Line : 500 UNIVERSITY DR
Second Line : MC CA410
City : HERSHEY
State : PA
Zip : 17033-2360
Country : US
Telephone Number : 717-531-8521
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2023
Last Update Date : 06/02/2026

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Directions to “ DR. LISA MARIE WITMER MD” Practice Location

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