Delisser Medical and Consulting Services, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD070002L Issued in PA

Legal business name

DELISSER MEDICAL AND CONSULTING SERVICES, LLC

Practice address

2095 Deep Meadow LN
Lansdale, PA 19446-7409

Phone

(610) 841-0400

NPI assigned

Oct 18, 2013

Last updated

Dec 5, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lawton O Delisser, MD

Title

Owner

Phone

(610) 841-0400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1382054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386201600000",
    "number": "1558799064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 WALBERT AVE",
            "address_2": "SUITE 201",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181041700",
            "telephone_number": "610-841-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2095 DEEP MEADOW LN",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194467409",
            "telephone_number": "610-841-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELISSER MEDICAL AND CONSULTING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-18",
        "last_updated": "2013-12-05",
        "status": "A",
        "authorized_official_last_name": "DELISSER",
        "authorized_official_first_name": "LAWTON",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-841-0400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD070002L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Lansdale, PA
• Providers in Lansdale, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2013; 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.