Individual
MRS. LISA LARAY STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
100 W QUEEN STREET, DALLASTOWN, PA 17313
(717) 246-1671
(717) 244-6629
Mailing address
423 EL VISTA DRIVE, HANOVER, PA 17331
(717) 633-9638
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP009470
PA
Other
Enumeration date
09/13/2007
Last updated
09/13/2007
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