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Ellen Segal Lisman, PA-C
Nephrology Physician in Philadelphia, Pennsylvania
NPI 1366482531

Ellen Segal Lisman is a Nephrology Physician based in Philadelphia, PA and is specialized in Nephrology. Ellen Segal Lisman practices in Philadelphia, PA and has the professional credentials of PA-C. The NPI Number for Ellen Segal Lisman is 1366482531 and holds a License No. MA003319L (Pennsylvania).

The current practice location address for Ellen Segal Lisman is 2701 Holme Ave, Philadelphia, PA and can be reached out via phone at 215-331-0515 and via fax at 215-331-8144.

Location: 2701 Holme Ave, Philadelphia, PA, 19152-2029
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366482531
Provider Name
Ellen Segal Lisman
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2701 Holme Ave, Philadelphia, PA, 19152-2029
Phone Number
215-331-0515
Fax Number
215-331-8144
Provider Enumeration Date
06/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1045793 01 PA PHYSICIAN ASST LICENSE #
institution
Provider Business Practice Location Address Details
Address
2701 Holme Ave
City
Philadelphia
State
Pennsylvania
Zip
19152-2029
Phone Number
215-331-0515
Fax Number
215-331-8144
person
Provider Business Mailing Address Details
Address
2701 Holme Ave
City
Philadelphia
State
Pennsylvania
Zip
19152-2029
Phone Number
215-331-0515
Fax Number
215-331-8144
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
207RN0300X
License No.
MA003319L (Pennsylvania)
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
MA003319L (Pennsylvania)
Definition
Definition to come...
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