LISA WRAY MD NPI 1619170925

NPI Information

  • NPI: 1619170925
  • Provider Name: LISA WRAY, MD
  • Classification: Pediatrics - 2080P0207X
  • Specialization: Pediatric Hematology-Oncology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3401 CIVIC CENTER BLVD
    PHILADELPHIA, PA
    ZIP 19104
  • Phone: (215) 590-1000

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NPI Details

Lisa Wray, MD is a pediatric hematology-oncology pediatrics in Philadelphia, PA. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. Lisa Wray, MD NPI is 1619170925. 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:

3401 CIVIC CENTER BLVD
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 590-1000
Fax: (215) 590-3992

The NPI 1619170925 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 6/6/2007 and was last updated on 12/4/2018.

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
1208000000XPediatricsMD435075PENNSYLVANIANo
22080P0207XPediatricsPediatric Hematology-OncologyMD435075PENNSYLVANIAYes

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
11027194410004MEDICAIDPENNSYLVANIA

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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