Individual
LAURIE A POWELL-ISENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1414 9TH AVE, STATION MEDICAL CENTER, ALTOONA, PA 16602-2454
(814) 949-7622
(814) 949-7616
Mailing address
1414 9TH AVE, STATION MEDICAL CENTER, ALTOONA, PA 16602-2454
(814) 946-1655
(814) 949-7616
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA002282L
PA
363A00000X
Physician Assistant
OA000283L
PA
Other
Enumeration date
03/21/2006
Last updated
04/20/2012
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