Individual
LISA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
200 LOTHROP ST, PITTSBURGH, PA 15213-2536
(412) 647-5909
Mailing address
200 LOTHROP ST, FORBES TOWER, SUITE 9055, PITTSBURGH, PA 15213-2536
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN273527
MA
363L00000X
Nurse Practitioner
SP011261
PA
Other
Enumeration date
05/25/2011
Last updated
03/13/2017
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