Individual
LUCIA CORNELIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
208 S MADISON ST APT 2, ALLENTOWN, PA 18102-4623
(973) 563-8709
Mailing address
208 S MADISON ST APT 2, ALLENTOWN, PA 18102-4623
(973) 563-8709
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN307860
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PN307860
LPN
PA
Enumeration date
08/16/2019
Last updated
08/16/2019
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