Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | MD426368 | PA |
NPI | 1003024811 |
---|---|
Provider Name | Dr. Lisa L Hamaker |
First Address | Philadelphia, PA 19178-9967 |
Second Address | Collegeville, PA 19426-4927 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2007 |
Last Update Date | 04/02/2019 |