LIA V LUDAN

PHILADELPHIA, PA
NPI1598010001
Former NameLIA VALENTIN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: PA  SP014642)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: NJ  26NJ00385300)
Enumeration Date2012-07-20
Last Update Date2015-08-03
Business Address
-- LIA V LUDAN CRNP
51 N 39TH ST
PHILADELPHIA, PA 19104-2640
Phone number: 215-662-8236
Mailing Address
-- LIA V LUDAN CRNP
51 N 39TH ST
PHILADELPHIA, PA 19104-2640
Phone number: 215-662-8236