Healthcare Provider Details

I. General information

NPI: 1447163274
Provider Name (Legal Business Name): LISA GHARING LPN, MTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1186 ELK ST
FRANKLIN PA
16323-1295
US

IV. Provider business mailing address

1186 ELK ST # 814432
FRANKLIN PA
16323-1295
US

V. Phone/Fax

Practice location:
  • Phone: 814-758-3687
  • Fax: 814-432-9537
Mailing address:
  • Phone: 814-758-3687
  • Fax: 814-432-9537

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberPN259526L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: