Individual
TETIANA LYUBOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
824 MAIN ST STE 306, PHOENIXVILLE, PA 19460-4478
(610) 983-1941
Mailing address
PO BOX 13579, READING, PA 19612-3579
(484) 628-5455
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
688621
PA
363L00000X
Nurse Practitioner
Primary
SP022886
PA
Other
Enumeration date
01/21/2021
Last updated
02/07/2025
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