Individual
LEA DEIMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 E LANCASTER AVE, WYNNEWOOD, PA 19096-3450
(484) 476-2285
Mailing address
433 E 10TH AVE, CONSHOHOCKEN, PA 19428-1517
(215) 429-3739
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
RN710242
PA
163WM0705X
Medical-Surgical Registered Nurse
RN710242
PA
Other
Enumeration date
12/04/2020
Last updated
01/25/2021
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