Provider Demographics
NPI:1477559854
Name:CIBIK, LISA M (MD)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:M
Last Name:CIBIK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 644214
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15264-4214
Mailing Address - Country:US
Mailing Address - Phone:412-653-3080
Mailing Address - Fax:412-650-8963
Practice Address - Street 1:9970 MOUNTAIN VIEW DR
Practice Address - Street 2:SUITE 200
Practice Address - City:WEST MIFFLIN
Practice Address - State:PA
Practice Address - Zip Code:15122-2474
Practice Address - Country:US
Practice Address - Phone:412-653-3080
Practice Address - Fax:412-653-3580
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2008-04-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD031664E207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA148344OtherHIGHMARK BS
PA0010885790003Medicaid
PA0010885790008Medicaid
PA550151OtherAETNA
PA1009576OtherGATEWAY HEALTH PLAN
PA203397OtherUPMC HEALTH PLAN
PA0000148344OtherAMERIHEALTH ADMINISTRATOR
PA000000063863OtherUNISON HEALTH PLAN
PA13339OtherELDER HEALTH
PA88987OtherADVANTRA/HEALTH AMERICA
PACI148344OtherUMWA
OH$$$$$$$$$-00OtherOHIO WORKERS COMP
PA0000148344OtherAMERIHEALTH ADMINISTRATOR
PACI148344OtherUMWA
PA0010885790008Medicaid
PA1009576OtherGATEWAY HEALTH PLAN