Lisa M Lycksell Nurse Practitioner
400 Mcfarland Road, 300 Penn Radiation Oncology At Kennett Square, Kennett Square, PA 19348-2477


Lisa M Lycksell is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1578848305. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 0446424147. The primary specialty is NURSE PRACTITIONER. The organization is UNIVERSITY OF PENN MEDICAL GROUP. The address is 400 Mcfarland Road, 300 Penn Radiation Oncology At Kennett Square, Kennett Square, PA 19348-2477. The zip code is 19348.


Lisa M Lycksell · 400 Mcfarland Road, 300 Penn Radiation Oncology At Kennett Square, Kennett Square, PA 19348-2477

Nation Provider ID 1578848305
PAC ID by PECOS 0446424147
Professional Enrollment ID I20121217000245
Last Name LYCKSELL
First Name LISA
Middle Name M
Gender F
Medical School Name OTHER
Graduation Year 2010
Primary Specialty NURSE PRACTITIONER
Primary Specialty UNIVERSITY OF PENN MEDICAL GROUP
Phone Number 6109254864
Group Practice PAC ID 6204730955
Number of Group Practice Members 2135
Address 400 MCFARLAND ROAD
300 PENN RADIATION ONCOLOGY AT KENNETT SQUARE
KENNETT SQUARE, PA 193482477
Claims Based Hospital Affiliation Claim Control Number (CCN): 390111
Legal Business Name: HOSPITAL OF UNIV OF PENNSYLVANIA
Claims Based Hospital Affiliation Claim Control Number (CCN): 390179
Legal Business Name: CHESTER COUNTY HOSPITAL
Professional accepts Medicare Assignment Y
Report Quality Measures Y

University of Penn Medical Group · Medicare Physician

Name Address Specialty
Anil Chauhan 1001 Chesterbrook Blvd, Berwyn, PA 19312-3805 DIAGNOSTIC RADIOLOGY
Adam Fredo 51 N 39th St, Philadelphia, PA 19104-4238 PHYSICIAN ASSISTANT
Noelle Frey 3400 Civic Ctr Boulevard 2nd Fl, Philadelphia, PA 19104-5127 HEMATOLOGY/ONCOLOGY
Michael Kinson 3701 Market St 3rd Floor, Philadelphia, PA 19104-5502 OBSTETRICS/GYNECOLOGY
Dan Negoianu 3400 Civic Ctr Blvd 1 S Pavilion, Philadelphia, PA 19104-4306 NEPHROLOGY
Ranjoo Prasad 250 King of Prussia Rd, Radnor, PA 19087-5220 OPTOMETRY
Sheilagh Mccauley 3400 Spruce St, Philadelphia, PA 19104-4208 NURSE PRACTITIONER
Gina Mcshea 3400 Spruce St, Philadelphia, PA 19104-2406 NURSE PRACTITIONER
Claude Nguyen 3701 Market St, Philadelphia, PA 19104-5502 NEUROLOGY
Angela Demichele 51 N 39th St Mab Bldg, Philadelphia, PA 19104-2640 HEMATOLOGY/ONCOLOGY
Yvonne Mccarey 51 N 39th Street Mab, Philadelphia, PA 19104-2640 INTERNAL MEDICINE
Justin Bekelman 3400 Spruce St, Philadelphia, PA 19104-4206 RADIATION ONCOLOGY
Kristin Wesley 3535 Market Street 3rd Floor, Philadelphia, PA 19104-3309 PSYCHIATRY
Liza Hillel 51 N 39th Street 218 Ws, Philadelphia, PA 19104-2640 NURSE PRACTITIONER
Lauren Hughes 3737 Market St, Philadelphia, PA 19104-5545 FAMILY PRACTICE
Alyssa Wolf 3400 Civic Ctr Blvd 2, Philadelphia, PA 19104-5127 NURSE PRACTITIONER
Jeffrey Mondschein 3400 Spruce St, Philadelphia, PA 19104-4206 DIAGNOSTIC RADIOLOGY
Huafeng Wei 3400 Spruce St, Philadelphia, PA 19104-4238 ANESTHESIOLOGY
Ihab Lamzabi 3400 Spruce St, Philadelphia, PA 19104-4206 PATHOLOGY
Christine Gearhart 51 N 39th St, Philadelphia, PA 19104-2640 NURSE PRACTITIONER

Zip 19348 · Nurse Practitioner · Medicare Physician

Name Address Specialty
Elizabeth Coyne 300 Old Forge Ln, Kennett Square, PA 19348-1897 NURSE PRACTITIONER
Jessica Feinerman Fuentes 830 W Cypress St, Kennett Square, PA 19348-2218 NURSE PRACTITIONER
Christine Poppe 1660 E St Rd, Kennett Square, PA 19348-2300 NURSE PRACTITIONER
Rebecca Macadams 300 Old Forge Ln, Kennett Square, PA 19348-1897 NURSE PRACTITIONER
Deborah Moyers 731 W Cypress St, Kennett Square, PA 19348-2419 NURSE PRACTITIONER
Taylor Martin 300 Old Forge Ln, Kennett Square, PA 19348-1897 NURSE PRACTITIONER
Corinne Koch Blaydon 300 Old Forge Ln, Kennett Square, PA 19348-1897 NURSE PRACTITIONER
Colleen Fries 300 Old Forge Ln, Kennett Square, PA 19348-1897 NURSE PRACTITIONER
Cindy Schmeltz 731 W Cypress St, Kennett Square, PA 19348-2419 NURSE PRACTITIONER
Nomi Horn 1660 E St Rd, Kennett Square, PA 19348-2300 NURSE PRACTITIONER
Lisa Diegel 300 Old Forge Ln, Kennett Square, PA 19348-1897 NURSE PRACTITIONER

Zip 19348 · Medicare Physician

Name Address Specialty
Tracey Young 300 Old Forge Ln, Kennett Square, PA 19348-1897 EMERGENCY MEDICINE
Elizabeth Coyne 300 Old Forge Ln, Kennett Square, PA 19348-1897 NURSE PRACTITIONER
Geoffrey Schilling 685 Unionville Rd, Kennet Sq, PA 19348-1736 PODIATRY
Rosemary Mcpherson 217 -219 E State St, Kennett Square, PA 19348-3111 OPTOMETRY
Chelsea Smallridge 300 Old Forge Ln, Kennett Square, PA 19348-1897 PHYSICIAN ASSISTANT
Marissa Oxenford 415 Mcfarlan Rd, Kennett Square, PA 19348-2496 PHYSICAL THERAPY
Nomi Horn 1660 E St Rd, Kennett Square, PA 19348-2300 NURSE PRACTITIONER
Laurence Anderson 300 Old Forge Ln, Kennett Square, PA 19348-1897 EMERGENCY MEDICINE
Tiia Furniss 400 Old Forge Ln, Kennett Square, PA 19348-1914 CHIROPRACTIC
Adina Mintz 300 Old Forge Ln, Kennett Square, PA 19348-1897 PHYSICIAN ASSISTANT
Michael Kirk 687 Unionville Rd, Kennett Square, PA 19348-4717 FAMILY PRACTICE
Jessica Feinerman Fuentes 830 W Cypress St, Kennett Square, PA 19348-2218 NURSE PRACTITIONER
Guillermo Juncos 402 Mcfarlan Rd, Kennett Square, PA 19348-2453 ALLERGY/IMMUNOLOGY
Melanie Dellert 301 Victoria Gardens Dr, Kennett Square, PA 19348-4116 PHYSICAL THERAPY
Seth Haplea 402 Mcfarlan Rd, Kennett Square, PA 19348-2453 NEUROLOGY
Tom Philip 300 Old Forge Ln, Kennett Square, PA 19348-1897 PHYSICIAN ASSISTANT
Adrienne Towsen 400 Mcfarlan Rd, Kennett Square, PA 19348-2477 ORTHOPEDIC SURGERY
Raymond Mclaughlin 701 E Baltimore Pike, Kennett Square, PA 19348-2400 FAMILY PRACTICE
Wendy Peck 300 Old Forge Ln, Kennett Square, PA 19348-1897 PHYSICIAN ASSISTANT
Taylor Martin 300 Old Forge Ln, Kennett Square, PA 19348-1897 NURSE PRACTITIONER