Individual
DR. LISA A KEEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
AU.D., FAAA
Contact information
Practice address
1776 S QUEEN ST, YORK, PA 17403-4628
(717) 845-6321
(717) 845-6320
Mailing address
18 QUAIL RIDGE DRIVE, HANOVER, PA 17331
(717) 633-7660
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AT-000719-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001649813 0002
—
PA
01
—
AT-000719-L
PA STATE LICENSE
PA
Enumeration date
05/05/2006
Last updated
07/08/2007
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