Individual
LISA DUVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
227 HOSPITAL DR, SUITE 1, EVERETT, PA 15537-7019
(814) 623-9095
Mailing address
227 HOSPITAL DR, SUITE 1, EVERETT, PA 15537-7019
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OS010157L
PA
Other
Enumeration date
02/08/2006
Last updated
03/25/2021
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