Individual
ELIZABETH CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16 WOODBINE LANE, DANVILLE, PA 17822-1419
(570) 271-8050
Mailing address
16 WOODBINE LN, DANVILLE, PA 17821-8029
(570) 271-8050
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MT228753
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/07/2021
Last updated
09/05/2024
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