Individual
MADELINE ANN DRISCOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
645 VILLA VISTA AVE, LEWISBURG, PA 17837
(570) 468-7391
Mailing address
645 VILLA VISTA AVE, LEWISBURG, PA 17837
(570) 468-7391
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
10/25/2021
Last updated
10/25/2021
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