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Individual

LISA PADVELSKIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
2901 JOLLY RD, PLYMOUTH MEETING, PA 19462-2324
(610) 272-8221
(610) 272-5655
Mailing address
2901 JOLLY RD, PLYMOUTH MEETING, PA 19462-2324
(610) 272-8221

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
F11180788
PA
363L00000X
Nurse Practitioner
Primary
SP020012
PA

Other

Enumeration date
01/11/2019
Last updated
09/20/2022
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