LILY INDRAWATI

SCRANTON, PA
NPI1932865417
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: PA  SP024210)
Enumeration Date2021-11-09
Last Update Date2021-11-09
Business Address
LILY INDRAWATI CRNP
746 JEFFERSON AVE
SCRANTON, PA 18510-1624
Phone number: 570-770-3000
Mailing Address
LILY INDRAWATI CRNP
746 JEFFERSON AVE
SCRANTON, PA 18510-1624
Phone number:
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