Individual
MR. LONNIE L HEETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
103 W SAINT CLAIR ST, WARREN, PA 16365-2197
(814) 723-1212
(814) 723-3466
Mailing address
2 W CRESCENT PARK, WARREN, PA 16365-2111
(814) 723-3300
(814) 723-8952
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
TP005151B
PA
363LF0000X
Family Nurse Practitioner
TP005151B
PA
Other
Enumeration date
04/21/2006
Last updated
08/12/2020
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