Breslow, Lisa
Breslow, Lisa is an individual health care provider with primary practice located at 390 Vineyard Way Bldg 500 Suite 501, West Grove PA 19390-8835. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Breslow, Lisa can be contacted via phone (610) 869-0953.Contact Information
Primary practice address
390 Vineyard Way Bldg 500 Suite 501
West Grove PA 19390-8835
Phone: (610) 869-0953
Fax: (610) 869-5824
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5101025286 | Michigan |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25MB10740100 | New Jersey |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 302800 | New York |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 032.0133896 | Vermont |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | S5130 | Texas |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS018188 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2020-00363 | North Carolina |
Profile Details
| NPI number | 1710138755 |
|---|---|
| LBN Legal business name | Breslow, Lisa |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 8th, 2008 |
| Last updated | Mar 6th, 2020 - about 4 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 | 1710138755 | NPPES |
| Pennsylvania | MEDICAID | 1031466770001 |
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