Individual
KORI LEA LANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
121 W 12TH ST, ERIE, PA 16501-1724
(844) 456-5433
Mailing address
121 W 12TH ST, ERIE, PA 16501-1724
(844) 456-5433
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
SP031729
PA
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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