Broody, Lisa

Broody, Lisa is an individual health care provider with primary practice located at 1088 W Baltimore Pike Suite #2208, Media PA 19063-5146. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Broody, Lisa can be contacted via phone (610) 891-3049.

Contact Information

Primary practice address
1088 W Baltimore Pike Suite #2208 Media PA 19063-5146
Phone: (610) 891-3049
Fax: (610) 891-3919
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP009148 Pennsylvania

Profile Details

NPI number 1487737417
LBN Legal business name Broody, Lisa
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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