Individual
HALEY LAMBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(610) 209-6177
Mailing address
2 HICKORY DR, GLEN MILLS, PA 19342-2251
(610) 209-6177
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA060146
PA
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
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