Individual
LISA M DRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
702 2ND AVE, TARENTUM, PA 15084-2004
(724) 230-3240
Mailing address
209 S. STATE ST., DAYTON, PA 16222
(814) 257-8894
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN569165
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163W00000X
COMMUNITY LIFE
PA
Enumeration date
07/08/2013
Last updated
07/08/2013
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