Individual
LUCINDA G FOSBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
33445 ATHENS RD, CENTERVILLE, PA 16404-2704
(814) 694-2108
Mailing address
33445 ATHENS RD, CENTERVILLE, PA 16404-2704
(814) 694-2108
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN271041
PA
Other
Enumeration date
06/19/2009
Last updated
06/19/2009
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