Individual
LISA HANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
111 ALICE LN, MOUNT POCONO, PA 18344-7100
(570) 972-7879
Mailing address
111 ALICE LN, MOUNT POCONO, PA 18344-7100
(570) 972-7879
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
SP034348
PA
Other
Enumeration date
09/23/2025
Last updated
11/24/2025
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