Individual
LISA NAUGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
125 S 5TH ST, READING, PA 19602-1662
(610) 685-2188
(610) 685-2183
Mailing address
200 N 7TH ST, LEBANON, PA 17046-5040
(717) 272-5464
(717) 273-1416
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP018674
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP018674
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103499549
—
PA
Enumeration date
03/12/2018
Last updated
07/25/2019
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