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Individual

MRS. LISA A CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
6451 VILLAGE LANE, MACUNGIE, PA 18062-0000
(610) 967-2772
(610) 967-2559
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SPO10109
PA

Other

Enumeration date
02/22/2010
Last updated
12/17/2015
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