Organization
LISA M PEREZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MARIE PEEREZ MS (SOLE PROPRIETOR)
(610) 653-3143
Entity
Organization
Contact information
Practice address
4009 REDWOOD DR, BETHLEHEM, PA 18020
(610) 653-3143
Mailing address
4009 REDWOOD DR, BETHLEHEM, PA 18020
(610) 653-3143
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
SL006181L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DOING BUSINESS
DOING BUSINESS
PA
Enumeration date
08/30/2012
Last updated
08/30/2012
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