| Doctor Name: | DR. LISA FAIRMAN PFINGSTLER |
| NPI Number: | 1851511471 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | MA052897 |
| Business Practice Address: | 105 Beaver Drive Suite 200 Dubois, PA - 158012515 |
| Business Phone Number: | 8143717546 |
| Business Fax Number: | 8143711906 |
| Mailing Address: | 105 Beaver Drive, Suite 200 DUBOIS |
| State: | PA |
| Postal Code: | 158012515 |
| Phone Number: | 8143717546 |
| Fax Number: | 8143711906 |
| NPI Enumeration Date: | 04/26/2007 |
| NPI Last Update Date: | 12/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | MA052897 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |