Individual
LISA A TOMKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
22 ST PAUL DR STE 204, CHAMBERSBURG, PA 17201-1036
(172) 176-9447
(717) 217-6955
Mailing address
785 5TH AVE STE 3, CHAMBERSBURG, PA 17201-4232
(717) 709-6553
(717) 709-6529
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
09/08/2021
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