Lisa Wray
MD | Pediatric Hematology-Oncology | Female
Lisa Wray, MD is a Philadelphia, Pennsylvania based Pediatric doctor with medical specialization in
Pediatric Hematology-Oncology.
Current practice location of Lisa Wray is
3401 Civic Center Blvd, Philadelphia, Pennsylvania - 19104. She can be contacted on phone at
215-590-1000 and fax number 215-590-3992.
Lisa Wray is a sole proprietor of her business.
NPI number (Unique professional ID) for Lisa Wray is
1619170925 which was assigned by NPPES on 06 Jun, 2007 and it was last updated on 04 Dec, 2018.
Lisa Wray license number is
MD435075 for Pediatrics Pediatric Hematology-Oncology (2080P0207X) in Pennsylvania.
Lisa Wray is trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Complete Profile:
Lisa Wray basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Hematology-Oncology |
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| Provider Name : | Lisa Wray |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Lisa Wray address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3401 Civic Center Blvd
Philadelphia, PA, 19104
United States |
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| Phone Number : | 215-590-1000 |
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| Fax Number : | 215-590-3992 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1619170925 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 06 Jun, 2007 |
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| Last Updated On : | 04 Dec, 2018 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lisa Wray are as mentioned. Primary taxonomy code for Lisa Wray, MD is
2080P0207X (Pediatrics Pediatric Hematology-Oncology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | No | MD435075 | PA |
| 2080P0207X | Pediatrics Pediatric Hematology-Oncology | Yes | MD435075 | PA |
Legacy Identifiers:
Other legacy medical identifiers of Lisa Wray such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 1027194410004 | MEDICAID | PA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 100 Penn Square East, 9th Floor North Tower
Philadelphia, PA, 19107
United States |
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| Phone Number : | 267-425-9200 |
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| Fax Number : | 267-425-9299 |
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Business Location:
Patients can refer following map for directions to
Lisa Wray practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.