Dr. Lisa Barbara Wallenstein, M.D.

Internal Medicine in Philadelphia, PA. Individual provider (NPI-1).

NPI number1700823937

StatusActive

Last updated in NPPESJul 13, 2026

Details

NPI: 1700823937
Entity type: Individual (NPI-1)
Name: Dr. Lisa Barbara Wallenstein
Credential: M.D.
Sex: Female
Sole proprietor: No
Enumeration date: May 31, 2006
Last updated: Jul 13, 2026

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207R00000X	Internal Medicine	MD024754E	PA	Yes

Practice location

210 Sunrise Ln
Philadelphia, PA 19118-3934

Phone 215-242-1649 · Fax 215-242-8348

Mailing address

210 Sunrise Ln
Philadelphia, PA 19118-3934

Phone 215-242-1649 · Fax 215-242-8348

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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