Laurel L. Willis PA-C

NPI 1194975888 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1194975888
Gender Female
Enumeration Date 09/30/2008
Last Updated 09/30/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
100 N ACADEMY AVE
DANVILLE PA, 17822-2037, US
Phone (570) 271-6389
Fax
Business Location
100 N ACADEMY AVE
DANVILLE PA, 17822-3034, US
Phone (570) 271-6144
Fax (570) 271-6578
Toxanomy
Taxonomy Code 363L00000X
License State Pennsylvania
License Number MA053530
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According to our database, Ms. Laurel L. Willis PA-C NPI is 1194975888, taxonomy code is 363L00000X and license number is MA053530, license state is located at Pennsylvania. Laurel L. Willis PA-C physically located at 100 N Academy Ave, Danville PA, 17822-2037. NPI Number Laurel L. Willis PA-C has the Individual type.

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1194975888 NPI number is provided on an as is basis without warranty of any kind. 1194975888 is maintained by the National Plan & Provider Enumeration System. The contents of Laurel L. Willis PA-C are for informational purposes only.