Individual
LENORE CECELIA QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3900 WOODLAND AVENUE, 111GM, PHILADELPHIA, PA 19104-4551
(215) 823-5800
(215) 823-4411
Mailing address
536 LAWRENCE ROAD, HAVERTOWN, PA 19083-2115
(610) 789-0780
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA001397L
PA
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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