Brancazio, Lisa

Brancazio, Lisa is an individual health care provider with primary practice located at 601 Colliers Way Lab, Weirton WV 26062-5014. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Brancazio, Lisa can be contacted via phone (304) 797-6332.

Contact Information

Primary practice address
601 Colliers Way Lab Weirton WV 26062-5014
Phone: (304) 797-6332
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 20178 West Virginia

Profile Details

NPI number 1356339246
LBN Legal business name Brancazio, Lisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356339246 NPPES
West Virginia MEDICAID 6600217000
West Virginia MEDICAID 2316694

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