Individual
MS. LISA M IGIDBASHIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
100 LANCASTER AVENUE, SUITE 280 LANKENAU MEDICAL SCIENCE, WYNNEWOOD, PA 19096
(610) 896-9255
(610) 896-1947
Mailing address
41 ROBERTS RD, NEWTOWN SQUARE, PA 19073-2011
(610) 356-6392
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP011683
PA
Other
Enumeration date
08/16/2013
Last updated
08/16/2013
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