Marcucci, Lisa
Marcucci, Lisa is an individual health care provider with primary practice located at 25 Monument Rd Suite 120, York PA 17403-5060. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgical Critical Care is her primary health care specialty. Marcucci, Lisa can be contacted via phone (717) 428-6017.Contact Information
Primary practice address
25 Monument Rd Suite 120
York PA 17403-5060
Phone: (717) 428-6017
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | MD051022L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD051022L | Pennsylvania |
Profile Details
| NPI number | 1487662789 |
|---|---|
| LBN Legal business name | Marcucci, Lisa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Jun 3rd, 2013 - about 11 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 | 1487662789 | NPPES |
| New Jersey | MEDICAID | 0112992 | |
| New Jersey | MEDICAID | 101451410 | |
| New Jersey | Other | 1337199 | |
| New Jersey | Other | 50082458 | |
| New Jersey | MEDICAID | 7312750 | |
| New Jersey | Other | 259401 | |
| New Jersey | Other | 215501 |
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