Individual
LINDSEY PUCILOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1800 MULBERRY ST, SCRANTON, PA 18510-2369
(570) 969-8128
(570) 558-7936
Mailing address
23 SONNY DR, OLD FORGE, PA 18518-1127
(570) 947-0537
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA055259
PA
Other
Enumeration date
11/21/2011
Last updated
11/21/2011
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