Individual
LISA MARIE COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
580 CANNON ST APT SUITE, SCRANTON, PA 18508-1616
(907) 796-9201
Mailing address
580 CANNON ST APT SUITE, SCRANTON, PA 18508-1616
(907) 796-9201
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN305725
PA
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
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