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Individual

LAURI G WEISS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
12265 TOWNSEND RD, PHILADELPHIA, PA 19154-1201
(215) 856-1303
(215) 856-1300
Mailing address
12265 TOWNSEND RD, PHILADELPHIA, PA 19154-1201
(215) 856-1303
(215) 856-1300

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP010409
PA

Other

Enumeration date
06/30/2010
Last updated
06/30/2010
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