LISA RAE

PHILADELPHIA, PA
NPI1801020987
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: PA  MD465010)
Additional Taxonomies2086S0102X Surgery, Surgical Critical Care
(Licence: PA  MD465010)
Enumeration Date2009-05-05
Last Update Date2024-09-26
Business Address
LISA RAE MD
3401 N BROAD ST
PHILADELPHIA, PA 19140-5189
Phone number: 215-707-3133
Mailing Address
LISA RAE MD
3500 N BROAD ST # 1A
PHILADELPHIA, PA 19140-4106
Phone number: 215-707-2433