Individual
LISA KAY HEIDORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9709 LINCOLN HWY, BEDFORD, PA 15522-3717
(814) 652-3223
Mailing address
9709 LINCOLN HWY, BEDFORD, PA 15522-3717
(814) 652-3223
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN507746L
PA
Other
Enumeration date
11/23/2022
Last updated
11/23/2022
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