DR. LISA JOAN PFITZER MD NPI 1518978097

NPI Information

  • NPI: 1518978097
  • Provider Name: DR. LISA JOAN PFITZER, MD
  • Classification: Pediatrics - 2080C0008X
  • Specialization: Child Abuse Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 12680 OLIVE BLVD STE 200
    SAINT LOUIS, MO
    ZIP 63141
  • Phone: (314) 529-5660

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NPI Details

DR. Lisa Joan Pfitzer, MD is a child abuse pediatrics pediatrics in Saint Louis, MO. The provider is a Child Abuse Pediatrician serves as a resource to children, families and communities by accurately diagnosing abuse; consulting with community agencies on child safety; providing expertise in courts of law; treating consequences of abuse and neglect; directing child abuse and neglect prevention programs and participating on multidisciplinary teams investigating; and managing child abuse cases. DR. Lisa Joan Pfitzer, MD NPI is 1518978097. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12680 OLIVE BLVD STE 200
SAINT LOUIS, MO
ZIP 63141-322
Phone: (314) 529-5660
Fax: (314) 529-5665

The NPI 1518978097 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 9/6/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics36493KENTUCKYNo
22080C0008XPediatricsChild Abuse Pediatrics36493KENTUCKYNo
3363LP0808XNurse PractitionerPsychiatric/Mental Health3012736KENTUCKYNo
42080C0008XPediatricsChild Abuse Pediatrics2022018676MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200885700MEDICAIDINDIANA
264034259MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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