Individual
MISS LISA CHRISTINE VAN HORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4755 OGLETOWN STANTON RD STE 2670, NEWARK, DE 19718-4812
(302) 733-1000
Mailing address
200 HYGEIA DR STE 2300, NEWARK, DE 19713-2049
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C5-0000873
DE
Other
Enumeration date
03/21/2013
Last updated
03/29/2018
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