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Individual

LINDSAY MARIE BUKOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
315 S MAIN ST, OLD FORGE, PA 18518-1790
(570) 457-8364
Mailing address
406 BOULEVARD AVE, DICKSON CITY, PA 18519-1729
(570) 877-4846

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP018507
PA

Other

Enumeration date
02/19/2018
Last updated
03/06/2020
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