Provider Demographics
NPI:1457645228
Name:SIZER, LINA MARIE (DO)
Entity Type:Individual
Prefix:DR
First Name:LINA
Middle Name:MARIE
Last Name:SIZER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:LINA
Other - Middle Name:MARIE
Other - Last Name:RICO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:101 S BRYN MAWR AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-3123
Mailing Address - Country:US
Mailing Address - Phone:610-520-0700
Mailing Address - Fax:610-520-0744
Practice Address - Street 1:101 S BRYN MAWR AVE STE 201
Practice Address - Street 2:
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-3123
Practice Address - Country:US
Practice Address - Phone:610-520-0700
Practice Address - Fax:610-520-0744
Is Sole Proprietor?:No
Enumeration Date:2011-06-08
Last Update Date:2018-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS016923208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery