Individual
LISA DUSHANKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
158 PERRIN ST, SWOYERSVILLE, PA 18704-1918
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN262921
PA
Other
Enumeration date
03/13/2008
Last updated
03/13/2008
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