Individual provider · NPI-1

Lisa Marie Abosamra, P.A.

Physician Assistant · Bethlehem, PA

NPI number1982638862
StatusActive
Last updated in NPPESSep 29, 2025

Details

NPI
1982638862
Entity type
Individual (NPI-1)
Name
Mrs. Lisa Marie Abosamra
Credential
P.A.
Sex
Female
Sole proprietor
No
Enumeration date
Jul 10, 2006
Certification date
Sep 29, 2025
Last updated
Sep 29, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantMA003595LPAYes

Practice location

1417 8th Ave
Bethlehem, PA 18018-2256

Phone 484-526-0224

Mailing address

1417 8th Ave
Bethlehem, PA 18018-2256

Phone 484-526-0224

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