Tkatch, Lisa

Tkatch, Lisa is an individual health care provider with primary practice located at 810 Sir Thomas Ct , Harrisburg PA 17109. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Tkatch, Lisa can be contacted via phone (717) 614-4420.

Contact Information

Primary practice address
810 Sir Thomas Ct Harrisburg PA 17109
Fax: (717) 614-4421
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X MD044469E Pennsylvania

Profile Details

NPI number 1811969405
LBN Legal business name Tkatch, Lisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Jan 9th, 2021 - about 4 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 1811969405 NPPES
Pennsylvania MEDICAID 001205192

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