Individual
LISA E CERAOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
132 COLONIAL DR, TOWANDA, PA 18848-8107
(570) 265-6165
(570) 265-3616
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD431154
PA
Other
Enumeration date
04/18/2007
Last updated
08/10/2015
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