Individual
MS. LISA M. LEITZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1693 S QUEEN ST, YORK, PA 17403-4609
(717) 845-1621
(717) 854-6939
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 845-1621
(717) 845-6939
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
SP012407
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103037670
—
PA
Enumeration date
10/18/2012
Last updated
07/20/2022
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