Provider Demographics
NPI:1417003641
Name:STEELE, LIZA C (PAC)
Entity Type:Individual
Prefix:
First Name:LIZA
Middle Name:C
Last Name:STEELE
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:300 WELSH RD
Mailing Address - Street 2:BUILDING #2
Mailing Address - City:HORSHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19044-2248
Mailing Address - Country:US
Mailing Address - Phone:215-657-8430
Mailing Address - Fax:215-657-8439
Practice Address - Street 1:300 WELSH RD
Practice Address - Street 2:BUILDING #2
Practice Address - City:HORSHAM
Practice Address - State:PA
Practice Address - Zip Code:19044-2248
Practice Address - Country:US
Practice Address - Phone:215-657-8430
Practice Address - Fax:215-657-8439
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2017-04-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD000008L363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA008330Medicare PIN