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General NPI Number Information
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NPI Number | 1679735203
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Entity Type | Individual
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Provider Name | LISA ANN LAKEMAN MSN, RN, BC-ADM, CDE
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Gender | Female
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Dates
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Enumeration Date | 06/25/2008
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 1700 S LINCOLN AVE
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City | LEBANON
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State | PA
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Zip | 17042-7529
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Country | US
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Telephone | 610-463-4144
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Fax |
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Provider Business Mailing Address
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Address Line | 2522 MCKINLEY AVE
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City | WEST LAWN
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State | PA
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Zip | 19609-2134
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Country | US
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Telephone | 610-463-4414
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | SP030580
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License Number State | PA
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