Organization Active NPI

Lisa M. Ducker DO

  • Family Medicine Physician
  • Langhorne, PA
National Provider Identifier
1255424669
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS007424L Issued in PA
Legal business name
LISA M. DUCKER DO
Practice address
930 Town Center Dr Ste G10
Langhorne, PA 19047-3504
Phone
(215) 750-8373
Fax
(215) 750-0455
NPI assigned
Sep 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Lisa Michelle Ducker, D.O.NPI 1023125069
Title
Owner
Phone
(215) 750-8373

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OS007424L PA Primary

Addresses

Primary practice location

930 Town Center Dr Ste G10
Langhorne, PA 19047-3504

Mailing address

930 Town Center Dr Ste G10
Langhorne, PA 19047-3504
Phone (215) 750-8373

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1255424669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 TOWN CENTER DR STE G10",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190473504",
            "telephone_number": "215-750-8373",
            "fax_number": "215-750-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 TOWN CENTER DR STE G10",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190473504",
            "telephone_number": "215-750-8373",
            "fax_number": "215-750-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA M. DUCKER DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "DUCKER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-750-8373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS007424L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.