Individual
LISA S GEHENIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
615 CUMBERLAND ST, LEBANON, PA 17042-5233
(717) 273-6741
(717) 273-6337
Mailing address
615 CUMBERLAND ST, LEBANON, PA 17042-5233
(717) 273-6741
(717) 273-6337
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
VP001495C
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VP001495C
LICENSE
PA
Enumeration date
07/27/2006
Last updated
02/05/2016
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