Provider Demographics
NPI:1437726692
Name:CIRELLO, LISA CHRISTA
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:CHRISTA
Last Name:CIRELLO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 STONEHEDGE LN
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:PA
Mailing Address - Zip Code:18337-6549
Mailing Address - Country:US
Mailing Address - Phone:973-727-6848
Mailing Address - Fax:
Practice Address - Street 1:105 WHEATFIELD DR STE 4
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:PA
Practice Address - Zip Code:18337-7809
Practice Address - Country:US
Practice Address - Phone:973-727-6848
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-07
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife