Individual
LISA M CAUSGROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRT
Contact information
Practice address
135 E 38TH ST, ERIE, PA 16504-1559
(814) 868-8661
Mailing address
723 E 41ST ST, ERIE, PA 16504-2203
(814) 825-3423
Taxonomy
Speciality
Code
Description
License number
State
225B00000X
Pulmonary Function Technologist
Primary
YO000248L
PA
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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