Delisser, Lawton O.

Delisser, Lawton O. is an individual health care provider with primary practice located at 713 Bethlehem Pike Suite 200, Montgomeryville PA 18936-9602. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Delisser, Lawton O. can be contacted via phone (267) 695-3944.

Contact Information

Primary practice address
713 Bethlehem Pike Suite 200 Montgomeryville PA 18936-9602
Fax: (267) 695-3945
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD070002L Pennsylvania

Profile Details

NPI number 1366499378
LBN Legal business name Delisser, Lawton O.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Jan 13th, 2015 - about 9 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 1366499378 NPPES
Pennsylvania MEDICAID 1715982

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