Provider Demographics
NPI:1275908899
Name:PILCHMAN, LISA (MS GC)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:
Last Name:PILCHMAN
Suffix:
Gender:F
Credentials:MS GC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 NW 10TH AVE
Mailing Address - Street 2:BRB 334, M860
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-1012
Mailing Address - Country:US
Mailing Address - Phone:305-243-4712
Mailing Address - Fax:
Practice Address - Street 1:1501 NW 10TH AVE
Practice Address - Street 2:BRB 334, M860
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1012
Practice Address - Country:US
Practice Address - Phone:305-243-4812
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-08
Last Update Date:2015-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS