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Individual
MS. LISA CIAMACCO
Active
Individual
MS. LISA CIAMACCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN269152L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
936189
CERTIFICATE
—
01
—
RN269152L
MEDICAL LICENSE
PA
Enumeration date
04/06/2006
Last updated
02/15/2008
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