Individual
LUCIANNE KOROMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, AGACNP
Contact information
Practice address
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-5127
(215) 964-7419
Mailing address
17520 MINA LN, DUMFRIES, VA 22025-3642
(703) 851-5894
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
SP028203
PA
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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