Conrad, Lisa D.

Conrad, Lisa D. is an individual health care provider with primary practice located at 765 Liberty St Suite 111, Meadville PA 16335-2566. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Conrad, Lisa D. can be contacted via phone (814) 336-6384.

Contact Information

Primary practice address
765 Liberty St Suite 111 Meadville PA 16335-2566
Phone: (814) 336-6384
Fax: (814) 336-1372
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X OS010956L Pennsylvania

Profile Details

NPI number 1417985144
LBN Legal business name Conrad, Lisa D.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Jul 9th, 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 1417985144 NPPES
Pennsylvania MEDICAID 001918170

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