DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. LISA PEDEVILLANO, DO

Active Sole Proprietor

DR. LISA PEDEVILLANO, DO is a Vascular Surgery healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1720433535 is currently active in the NPPES registry. Verify at CMS.

Vascular Surgery · PHILADELPHIA, PA

Registration Details

NPI Number
1720433535
Provider Type
Individual
Gender
Female
NPI Issued
Apr 29, 2016 (10.31661930591 yrs)
Last Updated
Oct 31, 2023
License
OS023186 (PA)
Sole Proprietor
Yes

Practice Information

Address
9501 ROOSEVELT BLVD STE 312
PHILADELPHIA, PA, 191141028
Browse PA providers · Browse ZIP 19114
Phone
2153317001
Fax
2153317004
Primary Specialty
Vascular Surgery
2086S0129X

Other Vascular Surgery Providers in PHILADELPHIA, PA

Name Credential NPI
FRANK A SCHMIEDER MD 1477542314
ANDREW B ROBERTS MD 1487642351
DR. GRACE JEN WANG MD 1326029513
STEPHEN R GUY M. D. 1417934977
DR. DARREN B SCHNEIDER MD 1790741106
DR. STEPHAN HARRIS WHITENACK MD 1538127907
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.