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Individual

LISA JANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, BSN, MSN

Contact information

Practice address
3400 CIVIC CENTER BLVD DEPT GENERAL, PHILADELPHIA, PA 19104-5127
(215) 509-1000
Mailing address
7 BARLEYCORN DR, BROOMALL, PA 19008-4428
(610) 613-1250

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP018813
PA

Other

Enumeration date
05/23/2018
Last updated
05/23/2018
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