Provider Demographics
NPI:1073571626
Name:FREEDMAN, LISA BETH (MD)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:BETH
Last Name:FREEDMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2017 MONTGOMERY AVE
Mailing Address - Street 2:
Mailing Address - City:VILLANOVA
Mailing Address - State:PA
Mailing Address - Zip Code:19085-1818
Mailing Address - Country:US
Mailing Address - Phone:215-796-1700
Mailing Address - Fax:215-938-8438
Practice Address - Street 1:2017 MONTGOMERY AVE
Practice Address - Street 2:
Practice Address - City:VILLANOVA
Practice Address - State:PA
Practice Address - Zip Code:19085-1818
Practice Address - Country:US
Practice Address - Phone:215-796-1700
Practice Address - Fax:215-938-8438
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-03
Last Update Date:2014-03-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD063118L207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine