Jablon, Lisa K.

Jablon, Lisa K. is an individual health care provider with primary practice located at 9880 Bustleton Ave Suite 205, Philadelphia PA 19115-2185. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Critical Care, which is considered as her primary health care specialty. Jablon, Lisa K. can be contacted via phone (215) 676-2222.

Contact Information

Primary practice address
9880 Bustleton Ave Suite 205 Philadelphia PA 19115-2185
Phone: (215) 676-2222
Fax: (215) 676-5923
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X MD037734E Pennsylvania

Profile Details

NPI number 1023110152
LBN Legal business name Jablon, Lisa K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2006
Last updated Jul 8th, 2007 - about 17 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 1023110152 NPPES
Pennsylvania MEDICAID 1255425

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