Basic Information
| Provider Information | |||||||||
| NPI: | 1417003641 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | STEELE | ||||||||
| FirstName: | LIZA | ||||||||
| MiddleName: | C | ||||||||
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| Credential: | P.A.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 300 WELSH RD | ||||||||
| Address2: | BUILDING #2 | ||||||||
| City: | HORSHAM | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190442248 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2156578430 | ||||||||
| FaxNumber: | 2156578439 | ||||||||
| Practice Location | |||||||||
| Address1: | 300 WELSH RD | ||||||||
| Address2: | BUILDING #2 | ||||||||
| City: | HORSHAM | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190442248 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2156578430 | ||||||||
| FaxNumber: | 2156578439 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/29/2007 | ||||||||
| LastUpdateDate: | 04/03/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363A00000X | MD000008L | PA | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
No ID Information.