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:
Map and Directions
Authorized official contact:
Name: Overton, Lisa Carol Doctor of Podiatric Medicine (DPM)
Phone: (215) 548-2010

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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