Individual
MRS. LISA K PETHAN-HAHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
(610) 834-7525
Mailing address
205 RIDGEPOINT PL, GAITHERSBURG, MD 20878-5703
(301) 990-0590
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R173384
MD
Other
Enumeration date
03/17/2009
Last updated
03/17/2009
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