Shaw, Lisa K

Shaw, Lisa K is an individual health care provider with primary practice located at 6100 Old Johnstown Rd , Harrisburg PA 17112. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Assistant, Podiatric, which is considered as her primary health care specialty. Shaw, Lisa K can be contacted via phone (717) 541-0988.

Contact Information

Primary practice address
6100 Old Johnstown Rd Harrisburg PA 17112
Phone: (717) 541-0988
Fax: (717) 541-8838
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Assistant, Podiatric 211D00000X

Profile Details

NPI number 1356321764
LBN Legal business name Shaw, Lisa K
Credentials PMAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Jul 8th, 2007 - about 17 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 1356321764 NPPES
Pennsylvania Other 3398 APMAA

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