Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | MW010049 | PA |
NPI | 1114997103 |
---|---|
Provider Name | Lisa Ann Billiter |
First Address | Lancaster, PA 17601-2433 |
Second Address | Lancaster, PA 17601-2433 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2006 |
Last Update Date | 10/11/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001971946 | (05) | PA |
P98166 | (02) | PA |