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1396396560
LISA MAK
PHILADELPHIA, PA
NPI
1396396560
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: PA SP020797)
Enumeration Date
2019-09-27
Last Update Date
2019-12-20
Business Address
LISA MAK CRNP
3401 N BROAD ST
PHILADELPHIA, PA 19140-5103
Phone number: 215-707-4000
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Mailing Address
LISA MAK CRNP
2450 W HUNTING PARK AVE
PHILADELPHIA, PA 19129-1302
Phone number: 215-707-4000
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