| Doctor Name: | MRS. LISA ANN WALKER |
| NPI Number: | 1033105077 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, MSN |
| License Number: | RN318709L |
| Business Practice Address: | 107 Chesley Dr Media, PA - 190631760 |
| Business Phone Number: | 6108919024 |
| Business Fax Number: | 6108919699 |
| Mailing Address: | 107 Chesley Dr, MEDIA |
| State: | PA |
| Postal Code: | 190631760 |
| Phone Number: | 6108919024 |
| Fax Number: | 6108919699 |
| NPI Enumeration Date: | 09/26/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0808X |
| License Number: | RN318709L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |