Lisa C Trevan (NPI# 1659313831, PAC ID# 5799682928) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1659313831 |
| PAC ID by PECOS | 5799682928 |
| Professional Enrollment ID | I20031216000756 |
| Full Name | Lisa C Trevan |
| Address |
10212 Governor Lane Blvd Unit 1004 Williamsport MD 21795-4088 |
| Gender | F |
| Credential | MD |
| Medical School | GEORGETOWN UNIVERSITY OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | ANESTHESIOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390233 | HANOVER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 300 Highland Ave, Hanover, PA 17331-2297 | 7176329955 | HANOVER ANESTHESIOLOGY AND PAIN MEDICINE, P.C. |
| 10212 Governor Lane Blvd, Unit 1004, Williamsport, MD 21795-4088 |
| Street Address |
10212 GOVERNOR LANE BLVD UNIT 1004 |
| City | WILLIAMSPORT |
| State | MD |
| Zip | 21795-4088 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hussein Hijazi | Family Medicine | Medical Practices of Antietam LLC | 3 Byrkit Dr, Williamsport, MD 21795-1158 |
| Jennifer Renee Burnett | Nurse Practitioner | Medical Practices of Antietam LLC | 3 Byrkit Dr, Williamsport, MD 21795-1158 |
| Samuel J. Rao | Family Medicine | Medical Practices of Antietam LLC | 3 Byrkit Dr, Williamsport, MD 21795-1158 |
| Tania R Crussiah | Family Medicine | Medical Practices of Antietam LLC | 3 Byrkit Dr, Williamsport, MD 21795-1158 |
| Matthew H Gibson | Family Medicine | Medical Practices of Antietam LLC | 3 Byrkit Dr, Williamsport, MD 21795-1158 |
| Karen J Ciccarelli | Family Medicine | Karen Jill Ciccarelli, M.d. PC | 16605 Kendle Rd, Williamsport, MD 21795-1614 |
| City | WILLIAMSPORT |
| Zip Code | 21795 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | WILLIAMSPORT + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Lisa C Trevan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.