Individual
LISA KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1240 S BROAD ST STE 200, LANSDALE, PA 19446-5395
(215) 361-3376
(215) 412-3587
Mailing address
1240 S BROAD ST STE 200, LANSDALE, PA 19446-5395
(215) 361-3376
(215) 412-3587
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP009116
PA
363LF0000X
Family Nurse Practitioner
Primary
SP009116
PA
Other
Enumeration date
12/06/2006
Last updated
01/29/2020
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