Lisa M Moroz CRNP

NPI 1760803068 - Nurse Practitioner - 363LP0808X

NPI Details
NPI 1760803068
Gender Female
Enumeration Date 01/04/2014
Last Updated 12/07/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
4237 WALNUT ST
PHILADELPHIA PA, 19104-5238, US
Phone (267) 298-5200
Fax
Business Location
1624 S 4TH ST
PHILADELPHIA PA, 19148-1303, US
Phone
Fax
Toxanomy
Taxonomy Code 363LP0808X
License State Pennsylvania
License Number SP013386
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According to our database, Lisa M Moroz CRNP NPI is 1760803068, taxonomy code is 363LP0808X and license number is SP013386, license state is located at Pennsylvania. Lisa M Moroz CRNP physically located at 4237 Walnut St, Philadelphia PA, 19104-5238. NPI Number Lisa M Moroz CRNP has the Individual type.

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1760803068 NPI number is provided on an as is basis without warranty of any kind. 1760803068 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa M Moroz CRNP are for informational purposes only.