Doctor Name: | MS. LISA CIAMACCO |
NPI Number: | 1508828203 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN269152L |
Business Practice Address: | 725 Cherrington Pkwy Ste 200 Moon Township, PA - 151084318 |
Business Phone Number: | 4122627800 |
Business Fax Number: | 4122622277 |
Mailing Address: | 5820 Centre Ave, PITTSBURGH |
State: | PA |
Postal Code: | 152063710 |
Phone Number: | 4126615500 |
Fax Number: | 4126614760 |
NPI Enumeration Date: | 04/06/2006 |
NPI Last Update Date: | 02/15/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WM0705X |
License Number: | RN269152L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Medical-Surgical |
Taxonomy Definition: |