Provider Demographics
NPI:1679879969
Name:PHILHOWER, LISA N (PA-C)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:N
Last Name:PHILHOWER
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:2 W CRESCENT PARK
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:PA
Mailing Address - Zip Code:16365-2111
Mailing Address - Country:US
Mailing Address - Phone:814-723-4973
Mailing Address - Fax:814-723-6095
Practice Address - Street 1:103 W SAINT CLAIR ST RM 2D
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:PA
Practice Address - Zip Code:16365-2188
Practice Address - Country:US
Practice Address - Phone:814-723-2686
Practice Address - Fax:814-726-9417
Is Sole Proprietor?:No
Enumeration Date:2011-02-03
Last Update Date:2020-08-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMA054786363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA240706U9RMedicare PIN