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1164855839
LISA M IGIDBASHIAN
WYNNEWOOD, PA
NPI
1164855839
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP011683)
Enumeration Date
2013-08-16
Last Update Date
2013-08-16
Business Address
Ms. LISA M IGIDBASHIAN CRNP
100 LANCASTER AVENUE SUITE 280 LANKENAU MEDICAL SCIENCE
WYNNEWOOD, PA 19096
Phone number: 610-896-9255
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Mailing Address
Ms. LISA M IGIDBASHIAN CRNP
41 ROBERTS RD
NEWTOWN SQUARE, PA 19073-2011
Phone number: 610-356-6392
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