Individual
LISAMARIE S BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1759 ASHBOURNE DR, YARDLEY, PA 19067-3955
(215) 579-9127
Mailing address
1759 ASHBOURNE DR, YARDLEY, PA 19067-3955
(215) 579-9127
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN352442L
PA
363LF0000X
Family Nurse Practitioner
Primary
SP013479
PA
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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