Lisa Vincent Holtz
Pediatric Critical Care Doctor
1800 Mulberry St
Scranton
, Pennsylvania 18510-2369
Lisa Vincent Holtz
Pediatric Critical Care Doctor
1800 Mulberry St
Scranton
, Pennsylvania 18510-2369
(570) 271-6578
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About
Features
Specialties
- Pediatric Critical Care Doctor
Languages spoken
- English
Location
First Address
- Lisa Vincent Holtz
- 100 N Academy Ave
- Danville, PA
- Zip : 17822-4093
- Fax : (570) 271-6578
- Phone : (570) 271-6144
Second Address
- Lisa Vincent Holtz
- 1800 Mulberry St
- Scranton, PA
- Zip : 18510-2369
- Fax : (570) 703-8559
- Phone : (570) 703-8000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0203X | Pediatric Critical Care Doctor | MD437444 | PA |
National Provider Identifier
| NPI | 1235339441 |
|---|---|
| Provider Name | Lisa Vincent Holtz |
| First Address | Danville, PA 17822-4093 |
| Second Address | Scranton, PA 18510-2369 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/07/2007 |
| Last Update Date | 15/07/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.