Black, Lisa B

Black, Lisa B is an individual health care provider with primary practice located at 701 E Marshall St Ste 640 , West Chester PA 19380-4412. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Black, Lisa B can be contacted via phone (610) 738-2709.

Contact Information

Primary practice address
701 E Marshall St Ste 640 West Chester PA 19380-4412
Phone: (610) 738-2709
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD059690L Pennsylvania
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD059690L Pennsylvania

Profile Details

NPI number 1730152653
LBN Legal business name Black, Lisa B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Jul 21st, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730152653 NPPES
Pennsylvania Other 232359401 MAIN LINE HEALTHCARE
Pennsylvania MEDICAID 001653594 MAIN LINE HEALTHCARE

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