Individual
LISA ABDUL-HAQQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
6431 SACKETT ST, PHILADELPHIA, PA 19149
(267) 448-4908
(267) 297-3950
Mailing address
6431 SACKETT ST, PHILADELPHIA, PA 19149
(267) 448-4908
(267) 297-3950
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
SP024729
PA
Other
Enumeration date
11/05/2021
Last updated
05/26/2022
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