Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alisa Chanchenchop, DO

Individual provider Pediatrics Physician · NPI 1780207761

Alisa Chanchenchop, DO is a Pediatrics Physician in Laurys Station, Pennsylvania. Works from 2 locations. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2020
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

5649 Wynnewood Dr Ste 104
Laurys Station, PA 18059-1124
Phone: (610) 262-6641
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 — (610) 402-7556

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence OS023067 (PA)
Pediatrics Physician Taxonomy 208000000X · Licence OT020151 (PA)

Record details

NPI number1780207761
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 25, 2020
Last updated in NPPESSeptember 5, 2023
Certification dateSeptember 5, 2023

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