Individual
LISA RENEE KEBLISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1304 IDAHO AVE, ERIE, PA 16505-3732
(425) 417-9531
Mailing address
1304 IDAHO AVE, ERIE, PA 16505-3732
(425) 417-9531
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN618600
PA
Other
Enumeration date
10/10/2011
Last updated
05/05/2014
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