Individual
DIANE M. LAGOMARSINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
130 S BRYN MAWR AVE, BRYN MAWR, PA 19010-3121
(484) 337-3046
(484) 337-4574
Mailing address
130 S BRYN MAWR AVE, BRYN MAWR, PA 19010-3121
(484) 337-3046
(484) 337-4574
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP008342
PA
Other
Enumeration date
09/13/2006
Last updated
08/11/2016
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