| NPI | 1174369623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEA DIOLA Practice Owner 725-253-4055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology |
| Enumeration Date | 2024-07-03 |
| Last Update Date | 2024-07-03 |