Individual
LISA A MCMAHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
148 W SAVANNAH DR, BEAR, DE 19701-1639
(302) 983-6637
Mailing address
148 W SAVANNAH DR, BEAR, DE 19701-1639
(302) 983-6637
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
LG-0012032
DE
Other
Enumeration date
09/13/2022
Last updated
05/26/2025
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