Individual
ELIZABETH LACEY ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYCH CRNP
Contact information
Practice address
429 MARTY LN, TOWANDA, PA 18848-7897
(570) 250-7837
Mailing address
429 MARTY LN, TOWANDA, PA 18848-7897
(570) 250-7837
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP033921
PA
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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