Individual
MS. LISA DOHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2600 W 9TH ST, CHESTER, PA 19013-2040
(610) 497-7232
(610) 497-7711
Mailing address
2600 W 9TH ST, CHESTER, PA 19013-2040
(610) 497-7232
(610) 497-7711
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN344614L
PA
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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