Individual
LISA MARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISA MARKS CRNP
Contact information
Practice address
241 S 6TH ST APT 1803, PHILADELPHIA, PA 19106-3734
(215) 925-2480
Mailing address
241 S 6TH ST APT 1803, PHILADELPHIA, PA 19106-3734
(215) 925-2480
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP011122
PA
Other
Enumeration date
01/21/2011
Last updated
01/21/2011
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