Individual
MISS LISA MARIE STANCICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1139 BEN FRANKLIN HWY W STE 114, DOUGLASSVILLE, PA 19518-1853
(610) 385-4444
Mailing address
PO BOX 13579, READING, PA 19612-3579
(484) 628-1324
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
C0004711
MD
363AM0700X
Medical Physician Assistant
Primary
MA054748
PA
Other
Enumeration date
02/15/2011
Last updated
08/28/2023
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