| Doctor Name: | LISA MARIE GERGAR |
| NPI Number: | 1043659592 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | 26NJ00080000 |
| Business Practice Address: | 2223 E High St Pottstown, PA - 194643215 |
| Business Phone Number: | 4843004256 |
| Business Fax Number: | |
| Mailing Address: | 1943 Sunset Dr, WHITEHALL |
| State: | PA |
| Postal Code: | 180524117 |
| Phone Number: | 4848665620 |
| Fax Number: | |
| NPI Enumeration Date: | 06/18/2013 |
| NPI Last Update Date: | 04/05/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 26NJ00080000 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |