Individual
LISA MARIE ESOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 887-3142
(570) 887-2023
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD0561122
PA
Other
Enumeration date
03/05/2007
Last updated
03/09/2021
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