Individual
MELISSA LONSDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNPC-AG
Contact information
Practice address
111 S 11TH ST, PHILADELPHIA, PA 19107-4824
(215) 955-6000
Mailing address
524 MOORE ST, PHILADELPHIA, PA 19148-1829
(610) 620-3718
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP026683
PA
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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