Individual
LISA D ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
372 W LANCASTER AVE, WAYNE, PA 19087-3924
(610) 688-8807
Mailing address
372 W LANCASTER AVE, WAYNE, PA 19087-3924
(610) 688-8807
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP015813
PA
Other
Enumeration date
03/20/2007
Last updated
04/24/2020
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