Lisa C Overton
LBN: Lisa C Overton
Lisa C Overton is an health care organization with primary practice located at 1940 E Walnut Ln , Philadelphia PA 19138-1312. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty.
Lisa C Overton can be contacted via phone (215) 548-2113, or through Overton, Lisa Carol via phone (215) 548-2010.
Contact Information
Primary practice address
1940 E Walnut Ln
Philadelphia PA 19138-1312
Phone: (215) 548-2113
Fax: (215) 548-3009
Website:
Authorized official contact:
Name: Overton, Lisa Carol Doctor of Podiatric Medicine (DPM)
Phone: (215) 548-2010
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | SC004492L | Pennsylvania |
Profile Details
| NPI number | 1356397913 |
|---|---|
| LBN Legal business name | Lisa C Overton |
| DBA Doing business as | |
| Authorized official | Overton, Lisa Carol Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | Sep 2nd, 2011 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356397913 | NPPES |
| Pennsylvania | Other | 2134337000 | 10 DIGIT IBC HMO ID |
| Pennsylvania | Other | 10741 | 10 DIGIT IBC HMO ID |
| Pennsylvania | Other | 5403600001 | 10 DIGIT IBC HMO ID |
| Pennsylvania | Other | 001444333 | 10 DIGIT IBC HMO ID |
| Pennsylvania | MEDICAID | 0018442730002 | 10 DIGIT IBC HMO ID |
| Pennsylvania | Other | P00041340 | 10 DIGIT IBC HMO ID |
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