Young, Lisa Rosenthal
Young, Lisa Rosenthal is an individual health care provider with primary practice located at 3500 Civic Center Blvd , Philadelphia PA 19104. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Pulmonology. Allopathic & Osteopathic Physicians / Pediatric Pulmonology is her primary health care specialty. Young, Lisa Rosenthal can be contacted via phone (215) 590-1000.Contact Information
Primary practice address
3500 Civic Center Blvd
Philadelphia PA 19104
Phone: (215) 590-1000
Fax: (267) 425-9299
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35-079881 | Ohio |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 35-079881 | Ohio |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 47924 | Tennessee |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35-079881 | Ohio |
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | 47924 | Tennessee |
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | 35-079881 | Ohio |
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | MD466754 | Pennsylvania |
Profile Details
| NPI number | 1184672396 |
|---|---|
| LBN Legal business name | Young, Lisa Rosenthal |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Jun 3rd, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184672396 | NPPES |
| Kentucky | MEDICAID | 64113665 | |
| Kentucky | MEDICAID | 2592672 | |
| Kentucky | MEDICAID | 200539670 |
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