Individual
LISA A TOMKO
Active
Individual
LISA A TOMKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP011661
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102735365
—
PA
01
—
1603330
GATEWAY MEDICARE ASSURED
PA
01
—
2678742
HIGHMARK BLUE SHIELD - FREEDOM BLUE
PA
Enumeration date
10/14/2011
Last updated
08/06/2026
Update your record
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