Individual
LIZMEIDY HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711-0027
(570) 808-7300
Mailing address
241 S FULTON CT, HAZLETON, PA 18201-7268
(570) 497-6330
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA064831
—
Other
Enumeration date
02/13/2023
Last updated
07/01/2025
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