Search › Pennsylvania › 207RR0500X
Lisa Mucciolo, MD
NPI 1770575219 · on the registry since 2005
Practice
- Address
- 80 Medical Park Dr
Lewisburg, PA 17837 - Phone
- (570) 768-4646
- Fax
- (570) 768-4648
- Organisation at this address
- Medical Park Ear Nose & Throat Ltd
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 207RR0500X
207RR0500X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-06-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania