Individual
LENA LANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2160 KNORR ST, PHILADELPHIA, PA 19149-2306
(215) 602-9385
Mailing address
2160 KNORR ST, PHILADELPHIA, PA 19149-2306
(215) 602-9385
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
CT019318L
PA
Other
Enumeration date
02/22/2024
Last updated
03/05/2024
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