Individual
LISA LYNN HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
401 BROAD ST, JOHNSTOWN, PA 15906-2716
(814) 535-6000
Mailing address
401 BROAD ST, JOHNSTOWN, PA 15906-2716
(814) 535-6000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN582237
PA
Other
Enumeration date
08/02/2012
Last updated
08/02/2012
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