Individual
LISA LEASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6398 CHAMBERSBURG RD, FAYETTEVILLE, PA 17222-8331
(717) 377-3610
Mailing address
6398 CHAMBERSBURG RD, FAYETTEVILLE, PA 17222-8331
(717) 377-3610
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
41813601
PA
Other
Enumeration date
11/18/2019
Last updated
11/27/2023
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