Provider Demographics
NPI:1871544254
Name:PILON, LISA ANN (DC)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:ANN
Last Name:PILON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3655 ROUTE 202
Mailing Address - Street 2:SUITE 130
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-6601
Mailing Address - Country:US
Mailing Address - Phone:215-230-0303
Mailing Address - Fax:215-489-2701
Practice Address - Street 1:3655 ROUTE 202
Practice Address - Street 2:SUITE 130
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-6601
Practice Address - Country:US
Practice Address - Phone:215-230-0303
Practice Address - Fax:215-489-2701
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-12
Last Update Date:2008-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC -005161-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1037053OtherAMERICAN SPECIALTY HEALTH
PA0661914000OtherPERSONAL CHOICE
PA0661914000OtherINDEPENDENCE BLUE CROSS
PA0000696246OtherAETNA
PA0661914000OtherKEYSTONE
PA652279OtherACN GROUP
PA0000696246OtherAETNA
PA0661914000OtherKEYSTONE