Rizack, Lillie

Rizack, Lillie is an individual health care provider with primary practice located at 34Th And Civic Center Blvd The Children'S Hospital Of Philadelphia, Philadelphia PA 19104. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Rizack, Lillie can be contacted via phone (267) 425-6900.

Contact Information

Primary practice address
34Th And Civic Center Blvd The Children'S Hospital Of Philadelphia Philadelphia PA 19104
Phone: (267) 425-6900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X MW008589L Pennsylvania

Profile Details

NPI number 1265418271
LBN Legal business name Rizack, Lillie
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Dec 22nd, 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 1265418271 NPPES
Pennsylvania MEDICAID 001814185

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