| Doctor Name: | LISA A COSTARIS |
| NPI Number: | 1003809450 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DO |
| License Number: | OS007618L |
| Business Practice Address: | 220 S River St Plains, PA - 187051137 |
| Business Phone Number: | 5708248151 |
| Business Fax Number: | |
| Mailing Address: | 220 S River St, PLAINS |
| State: | PA |
| Postal Code: | 187051137 |
| Phone Number: | 5708248151 |
| Fax Number: | |
| NPI Enumeration Date: | 08/31/2005 |
| NPI Last Update Date: | 03/17/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RA0401X |
| License Number: | OS007618L |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Addiction Medicine |
| Taxonomy Definition: | An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |