Individual
LISA WINTER-PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1311 BRANDYWINE BLVD, WILMINGTON, DE 19809-2306
(302) 793-5073
Mailing address
1311 BRANDYWINE BLVD, WILMINGTON, DE 19809-2306
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
L1-0019967
DE
Other
Enumeration date
09/19/2016
Last updated
09/19/2016
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