Cooper, Lisette Triana
Cooper, Lisette Triana is an individual health care provider with primary practice located at 1400 Black Horse Hill Road Va Medical Center Building 2, Coatesville PA 19320-2096. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Cooper, Lisette Triana can be contacted via phone (610) 383-0289.Contact Information
Primary practice address
1400 Black Horse Hill Road Va Medical Center Building 2
Coatesville PA 19320-2096
Phone: (610) 383-0289
Fax: (610) 543-1738
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD039876E | Pennsylvania |
Profile Details
| NPI number | 1104800770 |
|---|---|
| LBN Legal business name | Cooper, Lisette Triana |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2005 |
| Last updated | Mar 30th, 2017 - about 7 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 | 1104800770 | NPPES |
| Pennsylvania | MEDICAID | 0011842990008 |
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