Individual
LISA MINGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 MARKET ST, 2ND FLOOR, LEWISBURG, PA 17837-3002
(570) 524-0900
Mailing address
820 GENERAL JONES DR, TYRONE, PA 16686-1107
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN268967
PA
Other
Enumeration date
09/06/2007
Last updated
09/06/2007
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