Individual
LISA A SHEETO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD STE 240, PLYMOUTH MEETING, PA 19462-2225
(800) 879-4471
Mailing address
532 N WYOMING ST, HAZLETON, PA 18201-5146
(570) 436-3972
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN252337L
PA
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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