Montenegro, Lisa M.

Montenegro, Lisa M. is an individual health care provider with primary practice located at 160 E Erie Ave Fl 2 , Philadelphia PA 19134-1011. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, which is considered as her primary health care specialty. Montenegro, Lisa M. can be contacted via phone (215) 427-5220.

Contact Information

Primary practice address
160 E Erie Ave Fl 2 Philadelphia PA 19134-1011
Phone: (215) 427-5220
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X MD051913L Pennsylvania

Profile Details

NPI number 1467463505
LBN Legal business name Montenegro, Lisa M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Mar 21st, 2023 - about last year

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 1467463505 NPPES
Pennsylvania MEDICAID 0015613850
Pennsylvania Other 814971EJL

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