Hostetler, Lisa Lynette
Hostetler, Lisa Lynette is an individual health care provider with primary practice located at 500 Evergreen Drive Suite 20, Glen Mills PA 19342. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Hostetler, Lisa Lynette can be contacted via phone (484) 785-3376.Contact Information
Primary practice address
500 Evergreen Drive Suite 20
Glen Mills PA 19342
Phone: (484) 785-3376
Fax: (610) 544-8655
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD047581L | Pennsylvania |
Profile Details
| NPI number | 1780760835 |
|---|---|
| LBN Legal business name | Hostetler, Lisa Lynette |
| Credentials | M.D., PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2006 |
| Last updated | Sep 10th, 2014 - about 10 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 | 1780760835 | NPPES |
| Pennsylvania | Other | 469367 | AETNA |
| Pennsylvania | Other | 0233208000 | AETNA |
| Pennsylvania | Other | 421165 | AETNA |
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