Individual
MRS. LISA MARIE TACORONTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
383 HAZLE TOWNSHIP BLVD, HAZLE TOWNSHIP, PA 18202-9659
(866) 454-7620
Mailing address
383 HAZLE TOWNSHIP BOULEVARD, HAZLE TOWNSHIP, PA 18202-9659
(866) 454-7620
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN263023
PA
Other
Enumeration date
06/14/2010
Last updated
06/14/2010
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