Individual
LISA SHIRK/PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
442 GRAVEL HILL RD, PALMYRA, PA 17078-8531
(717) 383-0760
(717) 383-0760
Mailing address
442 GRAVEL HILL RD, PALMYRA, PA 17078-8531
(717) 383-0760
(717) 383-0760
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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