Individual
LISA STADULIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
607 MAIN STREET, LANSDALE, PA 19446
(215) 362-4950
Mailing address
225 DALLAS RD, WILLOW GROVE, PA 19090-2411
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN528351L
PA
Other
Enumeration date
02/05/2014
Last updated
02/05/2014
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