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LISA SU MD
NPI 1609712058
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since April 28, 2026
3400 SPRUCE ST, PHILADELPHIA, PA 19104(800) 789-7366 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Su Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA SU MD (NPI 1609712058) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1609712058
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLISA SUCredential: MD
Location Address3400 SPRUCE STPhiladelphia, PA 19104-4238
Mailing Address3400 Spruce StPhiladelphia, PA 19104-4238
Phone(800) 789-7366
Sole ProprietorNo
Enumeration DateApril 28, 2026
NPPES CertifiedApril 27, 2026
✔ NPI 1609712058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3400 SPRUCE ST, Philadelphia, PA 19104
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH FOGLIA MD
Pediatrics
3400 SPRUCE ST, 8 RAVDIN
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3228
JOEL M STEIN MD
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3005
PRISCILLA NELSON M.D.
Anesthesiology
3400 SPRUCE ST, 6 DULLES
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-8310
DR. JASON THOMAS ACKRIVO MD
Internal Medicine (Pulmonary Disease)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 614-0871
JEAN-PHILIPPE RICHARD DMD
Student in an Organized Health Care Education/Training Program
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-6176
LEAH M LOPEZ PA-C
Physician Assistant (Medical)
3400 SPRUCE ST, 4 SILVERSTEIN
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-7870
MONIQUE LORRAINE ROBERTS SALAHUB
Anesthesiology (Critical Care Medicine)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-4000
JOANIE M GARRATT MD
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Su's NPI number?

The NPI number for Lisa Su is 1609712058. It was assigned to this individual provider in the NPPES registry on April 28, 2026.

Where is Lisa Su located?

Lisa Su practices at 3400 Spruce St, Philadelphia, PA 19104. The listed phone number is (800) 789-7366.

What is Lisa Su's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Lisa Su was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.