Keglovitz, Lisa

Keglovitz, Lisa is an individual health care provider with primary practice located at 4905 W Tilghman St Suite 250, Allentown PA 18104-9130. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Keglovitz, Lisa can be contacted via phone (484) 866-9583.

Contact Information

Primary practice address
4905 W Tilghman St Suite 250 Allentown PA 18104-9130
Phone: (484) 866-9583
Fax: (610) 366-1147
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD070447L Pennsylvania

Profile Details

NPI number 1518955509
LBN Legal business name Keglovitz, Lisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Feb 27th, 2014 - about 12 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 1518955509 NPPES
Pennsylvania Other 0097129 KEYSTONE CENTRAL
Pennsylvania Other 000000114004 KEYSTONE CENTRAL
Pennsylvania Other 01788951 KEYSTONE CENTRAL
Pennsylvania Other 0794395000 KEYSTONE CENTRAL
Pennsylvania Other 30000871 KEYSTONE CENTRAL
Pennsylvania MEDICAID 0017889510005 KEYSTONE CENTRAL
Pennsylvania Other 1122711 KEYSTONE CENTRAL
Pennsylvania Other 97129 KEYSTONE CENTRAL

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