Robertson, Lisa E

Robertson, Lisa E is an individual health care provider with primary practice located at 790 Northern Blvd Suite K, South Abington Township PA 18411-8799. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Robertson, Lisa E can be contacted via phone (570) 586-4141.

Contact Information

Primary practice address
790 Northern Blvd Suite K South Abington Township PA 18411-8799
Fax: (570) 586-6722
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS008274L Pennsylvania

Profile Details

NPI number 1710966692
LBN Legal business name Robertson, Lisa E
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Feb 7th, 2011 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1710966692 NPPES
Pennsylvania MEDICAID 001532070

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