Individual
MS. JUDITH REBECCA DOUGLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,BSN
Contact information
Practice address
LEHIGH VALLEY HOSP., I 78 AND CEDAR CREST BLVD., ALLENTOWN, PA 18105
(610) 402-8000
Mailing address
476 LARK ST, NAZARETH, PA 18064-9628
(484) 239-3165
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN317269L
PA
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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