Provider Demographics
NPI:1265653810
Name:HECHT, LISA MERLE (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:MERLE
Last Name:HECHT
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:538 HAMILTON RD
Mailing Address - Street 2:
Mailing Address - City:MERION STATION
Mailing Address - State:PA
Mailing Address - Zip Code:19066-1125
Mailing Address - Country:US
Mailing Address - Phone:610-667-3212
Mailing Address - Fax:
Practice Address - Street 1:538 HAMILTON RD
Practice Address - Street 2:
Practice Address - City:MERION STATION
Practice Address - State:PA
Practice Address - Zip Code:19066-1125
Practice Address - Country:US
Practice Address - Phone:610-585-4634
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA268914L363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health