REBECCA LISAK


Address: 2007 Chestnut St, Suite 1, Philadelphia, PA 19103-3318
Phone: 2672354759

REBECCA LISAK (NPI# 1134526544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134526544
Entity Type Individual
Full Name REBECCA LISAK
Practice Address 2007 Chestnut St
Suite 1
Philadelphia
PA 19103-3318
Mailing Address 2046 Pine St
Philadelphia
PA 19103-6536
Practice Telephone 2672354759
Enumeration Date 2014-12-01
Last Update Date 2014-12-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist MSG004828 PA Other Service Providers

Office Location

Street Address 2007 CHESTNUT ST
SUITE 1
City PHILADELPHIA
State PA
Zip Code 19103-3318

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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174156012 Sade Yolanda Davis Specialist 2414 N Garnet St, Philadelphia, PA 19132-3725 2020-02-19
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1740758168 William Whitaker Specialist 1115 E Sanger St, Philadelphia, PA 19124-1130 2018-11-02
1902395536 Ran Barzilay Specialist 3440 Market St, Suite 200, Philadelphia, PA 19104 2018-05-09
1093229668 Danielle M Marshall Specialist 514 Seville St Apt 7, Philadelphia, PA 19128-2737 2017-11-19
1336651017 Radhia Afif Specialist 5943 Weymouth St, Philadelphia, PA 19120-1122 2017-11-02
1306383401 Helping Hair LLC Specialist 930 N 50th St, Philadelphia, PA 19131-5102 2017-01-26
1447796172 Kristen Halvorson Specialist 3411 Cresson St, Apartment 6, Philadelphia, PA 19129-1654 2017-01-19
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Competitor

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City PHILADELPHIA
Zip Code 19103

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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