Doctor Name: | MRS. LISA MARIE BARTLETT |
NPI Number: | 1255778585 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | |
Business Practice Address: | 602 Roemer Blvd Farrell, PA - 161211902 |
Business Phone Number: | 7249812246 |
Business Fax Number: | |
Mailing Address: | 13 Meadow Brook Ln, 1305 BUTLER |
State: | PA |
Postal Code: | 160011439 |
Phone Number: | 7242721802 |
Fax Number: | |
NPI Enumeration Date: | 05/28/2013 |
NPI Last Update Date: | 06/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |