person
Dr. Lisa Carol Overton, DPM
Podiatrist in Philadelphia, Pennsylvania
NPI 1619923190

Lisa Carol Overton is a Podiatrist based in Philadelphia, PA. Lisa Carol Overton practices in Philadelphia, PA and has the professional credentials of DPM. The NPI Number for Lisa Carol Overton is 1619923190 and holds a License No. SC004492L (Pennsylvania).

The current practice location address for Lisa Carol Overton is 1940 E Walnut Ln, Philadelphia, PA and can be reached out via phone at 215-548-2113 and via fax at 215-548-3009.

Location: 1940 E Walnut Ln, Philadelphia, PA, 19138-1312
person
Provider Profile Details
NPI Number
1619923190
Provider Name
Lisa Carol Overton
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
1940 E Walnut Ln, Philadelphia, PA, 19138-1312
Phone Number
215-548-2113
Fax Number
215-548-3009
Provider Enumeration Date
05/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0018442730002 05 PA
2063808000 01 PA IBC 10 DIGIT HMO ID
10741 01 PA ELDER HEALTH ID
5403600001 01 PA DMERC SUPPLIER ID
001372137 01 PA HIGHMARK BLUE SHIELD ID
institution
Provider Business Practice Location Address Details
Address
1940 E Walnut Ln
City
State
Zip
19138-1312
Phone Number
215-548-2113
Fax Number
215-548-3009
person
Provider Business Mailing Address Details
Address
1940 E Walnut Ln
City
State
Zip
19138-1312
Phone Number
215-548-2113
Fax Number
215-548-3009
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
License No.
SC004492L (Pennsylvania)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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