Ambron, Marissa Lara

Ambron, Marissa Lara is an individual health care provider with primary practice located at 700 High Street , Williamsport PA 17701-3198. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Ambron, Marissa Lara can be contacted via phone (570) 321-2850.

Contact Information

Primary practice address
700 High Street Williamsport PA 17701-3198
Phone: (570) 321-2850
Fax: (570) 321-2851
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0012720 Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OS014928 Pennsylvania
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X OS014928 Pennsylvania

Profile Details

NPI number 1518113570
LBN Legal business name Ambron, Marissa Lara
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2008
Last updated Jan 11th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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