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Dr. Lisa Anne Mucciolo, MD
Rheumatology Physician in Lewisburg, Pennsylvania
NPI 1770575219

Lisa Anne Mucciolo is a Rheumatology Physician based in Lewisburg, PA and is specialized in Rheumatology. Lisa Anne Mucciolo practices in Lewisburg, PA and has the professional credentials of MD. The NPI Number for Lisa Anne Mucciolo is 1770575219 and holds a License No. MD067434L (Pennsylvania).

The current practice location address for Lisa Anne Mucciolo is 80 Medical Park Dr, Lewisburg, PA and can be reached out via phone at 570-768-4646 and via fax at 570-768-4648.

Location: 80 Medical Park Dr, Lewisburg, PA, 17837-9350
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770575219
Provider Name
Lisa Anne Mucciolo
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
80 Medical Park Dr, Lewisburg, PA, 17837-9350
Phone Number
570-768-4646
Fax Number
570-768-4648
Provider Enumeration Date
08/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0017494250005 05 PA
institution
Provider Business Practice Location Address Details
Address
80 Medical Park Dr
City
Lewisburg
State
Pennsylvania
Zip
17837-6343
Phone Number
570-768-4646
Fax Number
570-768-4648
person
Provider Business Mailing Address Details
Address
80 Medical Park Dr
City
Lewisburg
State
Pennsylvania
Zip
17837-6343
Phone Number
570-768-4646
Fax Number
570-768-4648
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Rheumatology
Taxonomy
207RR0500X
License No.
MD067434L (Pennsylvania)
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.
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