Individual
LISA KISSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 EXCELA HEALTH DR STE 202, LATROBE, PA 15650-9001
(724) 532-5360
(724) 879-4033
Mailing address
100 EXCELA HEALTH DR STE 202, LATROBE, PA 15650-9001
(724) 532-5360
(724) 879-4033
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP024420
PA
Other
Enumeration date
09/22/2021
Last updated
02/10/2025
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