Lisa Anne Mucciolo MD

NPI 1770575219 - Internal Medicine - 207RR0500X

NPI Details
NPI 1770575219
Gender Female
Enumeration Date 08/19/2005
Last Updated 10/21/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
3 HOSPITAL DR
SUITE 206
LEWISBURG PA, 17837-9362, US
Phone (570) 524-4141
Fax (570) 524-5218
Business Location
PO BOX 111
MIFFLINBURG PA, 17844-0111, US
Phone (570) 522-4110
Fax (570) 768-3911
Toxanomy
Taxonomy Code 207RR0500X
License State Pennsylvania
License Number MD067434L
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According to our database, Mrs. Lisa Anne Mucciolo MD NPI is 1770575219, taxonomy code is 207RR0500X and license number is MD067434L, license state is located at Pennsylvania. Lisa Anne Mucciolo MD physically located at 3 Hospital Dr, Lewisburg PA, 17837-9362. NPI Number Lisa Anne Mucciolo MD has the Individual type.

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1770575219 NPI number is provided on an as is basis without warranty of any kind. 1770575219 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Anne Mucciolo MD are for informational purposes only.