Individual
LISA ANN HAMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
845 HELEN DR, LEBANON, PA 17042-7493
(717) 273-8835
(717) 202-0100
Mailing address
785 5TH AVE STE 3, CHAMBERSBURG, PA 17201-4232
(717) 263-9555
(717) 709-6529
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP018110
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103459982
—
PA
01
—
14311531
CAQH
—
Enumeration date
10/04/2017
Last updated
02/15/2022
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