Individual
KASSIDY LAX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2917 FISCHER RD, EASTON, PA 18045-2414
(484) 426-6039
Mailing address
2917 FISCHER RD, EASTON, PA 18045-2414
(484) 426-6039
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP027470
PA
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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