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Individual

LISA MARIE ONORATO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5800 RIDGE AVE, PHILA, PA 19128-1737
(215) 487-4312
Mailing address
428 SYCAMORE AVE, FOLSOM, PA 19033-1802
(610) 532-4893

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA003387L
PA

Other

Enumeration date
10/27/2006
Last updated
07/08/2007
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