LISA MAK

PHILADELPHIA, PA
NPI1396396560
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: PA  SP020797)
Enumeration Date2019-09-27
Last Update Date2019-12-20
Business Address
LISA MAK CRNP
3401 N BROAD ST
PHILADELPHIA, PA 19140-5103
Phone number: 215-707-4000
Mailing Address
LISA MAK CRNP
2450 W HUNTING PARK AVE
PHILADELPHIA, PA 19129-1302
Phone number: 215-707-4000