Individual
MRS. LISA SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
849 ELK ST, FRANKLIN, PA 16323-1156
(814) 758-1160
Mailing address
849 ELK ST, FRANKLIN, PA 16323-1156
(814) 758-1160
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
462638869
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
462638869
PRIVATE
PA
05
—
462638869
—
PA
Enumeration date
05/01/2013
Last updated
05/01/2013
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