Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | SP010670 | PA |
NPI | 1003139593 |
---|---|
Provider Name | Ms. Lisa Anne Wescott |
First Address | Lower Gwynedd, PA 19002-2501 |
Second Address | Lower Gwynedd, PA 19002-2501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/03/2010 |
Last Update Date | 28/11/2018 |