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Individual

LIAN GROW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1337 BLUE VALLEY DR STE 7, PEN ARGYL, PA 18072-1815
(610) 654-1270
Mailing address
25 S BROAD ST, NAZARETH, PA 18064-2255

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN719432
PA
363LF0000X
Family Nurse Practitioner
Primary
SP031292
PA

Other

Enumeration date
09/05/2023
Last updated
02/04/2025
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