LISA LY HATA

PHILADELPHIA, PA
NPI1225698566
Former NameLISA LY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: PA  MT217942)
Enumeration Date2019-06-18
Last Update Date2023-01-08
Business Address
LISA LY HATA MD
3401 N BROAD ST
PHILADELPHIA, PA 19140-5189
Phone number: 215-707-2000
Mailing Address
LISA LY HATA MD
2673 RIKKARD DR
THOUSAND OAKS, CA 91362-4609
Phone number: 805-558-3894