Provider Demographics
NPI:1902038839
Name:LIFSCHUTZ, PAUL (RPSGT, RST)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:
Last Name:LIFSCHUTZ
Suffix:
Gender:M
Credentials:RPSGT, RST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86 LIVERY DR
Mailing Address - Street 2:
Mailing Address - City:CHURCHVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18966-1169
Mailing Address - Country:US
Mailing Address - Phone:267-259-2999
Mailing Address - Fax:
Practice Address - Street 1:86 LIVERY DR
Practice Address - Street 2:
Practice Address - City:CHURCHVILLE
Practice Address - State:PA
Practice Address - Zip Code:18966-1169
Practice Address - Country:US
Practice Address - Phone:267-259-2999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-11
Last Update Date:2013-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other