Rae, Lisa

Rae, Lisa is an individual health care provider with primary practice located at 3401 N Broad St , Philadelphia PA 19140-5189. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Rae, Lisa can be contacted via phone (215) 805-5579.

Contact Information

Primary practice address
3401 N Broad St Philadelphia PA 19140-5189
Phone: (215) 805-5579
Fax: (215) 707-4357
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD50081 Tennessee
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X MD50081 Tennessee
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X MD50081 Tennessee
Allopathic & Osteopathic Physicians / Surgery 208600000X MD465010 Pennsylvania

Profile Details

NPI number 1801020987
LBN Legal business name Rae, Lisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2009
Last updated Oct 7th, 2020 - about 5 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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