Block, Lisa M
Block, Lisa M is an individual health care provider with primary practice located at 781 Far Hills Dr Suite 600, New Freedom PA 17349-9346. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Block, Lisa M can be contacted via phone (717) 812-2560.Contact Information
Primary practice address
781 Far Hills Dr Suite 600
New Freedom PA 17349-9346
Phone: (717) 812-2560
Fax: (717) 812-2569
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD421373 | Pennsylvania |
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | MD421373 | Pennsylvania |
Profile Details
NPI number | 1073559316 |
---|---|
LBN Legal business name | Block, Lisa M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 22nd, 2006 |
Last updated | Jun 10th, 2016 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1073559316 | NPPES |
Pennsylvania | Other | 243879 | VALUE OPTIONS |
Pennsylvania | Other | 3107334 | VALUE OPTIONS |
Pennsylvania | Other | 1459504 | VALUE OPTIONS |
Pennsylvania | MEDICAID | 01950285 | VALUE OPTIONS |
Pennsylvania | Other | P00031247 | VALUE OPTIONS |
Pennsylvania | Other | 50009524 | VALUE OPTIONS |
Pennsylvania | Other | 1056692 | VALUE OPTIONS |
Pennsylvania | Other | 132296000 | VALUE OPTIONS |
Pennsylvania | Other | 619012 | VALUE OPTIONS |
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