TARA LORD GROGAN

PHILADELPHIA, PA
NPI1114680808
Former NameTARA PATRICE LORD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: PA  SP024598)
Enumeration Date2021-10-19
Last Update Date2021-10-19
Business Address
TARA LORD GROGAN CRNP
3400 CIVIC CENTER BLVD FL 3
PHILADELPHIA, PA 19104-5127
Phone number: 215-316-5151
Mailing Address
TARA LORD GROGAN CRNP
3400 CIVIC CENTER BLVD FL 3
PHILADELPHIA, PA 19104-5127
Phone number:
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