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Individual

MS. LISA FOUTS ROUPAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
25 MONUMENT RD STE 105, YORK, PA 17403-5049
(717) 851-7575
(717) 798-3702
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 851-7575
(717) 798-3702

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP009626
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2008981
HIGHMARK BS FREEDOM BLUE
PA
01
210235
JOHNS HOPKINS
PA
01
50074467
CAPITAL BLUE CROSS-WMG
PA
01
918379
CAREFIRST MD BCBS
MD
Enumeration date
12/17/2007
Last updated
12/05/2022
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