Individual
LIESHE C SEVEREIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
310 LAMBS GAP RD, MECHANICSBURG, PA 17050-2522
(717) 795-9566
Mailing address
629 LAUREL LN, LANCASTER, PA 17601-3511
(171) 753-8298
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP023150
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP023150
STATE BOARD OF NURSING
PA
Enumeration date
05/24/2021
Last updated
06/01/2021
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