Individual
LILY GRACE LEYMEISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
251 E BRINGHURST ST, PHILADELPHIA, PA 19144-1799
(215) 844-1020
Mailing address
37 HICKORY LN, AUBURN, PA 17922-9094
(570) 640-2578
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA064110
PA
Other
Enumeration date
10/14/2022
Last updated
11/22/2022
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