Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | MD435759 | PA |
NPI | 1023227444 |
---|---|
Provider Name | Dr. Lissa Beth Levin Mizrahi |
First Address | Philadelphia, PA 19102-1320 |
Second Address | Philadelphia, PA 19102-1121 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2007 |
Last Update Date | 19/09/2016 |