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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LEE MCDONALD DEFAZIO, CRNP

Active

Family Nurse Practitioner · LAKE ARIEL, PA

Registration Details

NPI Number
1346439981
Provider Type
Individual
Gender
Female
NPI Issued
Oct 19, 2007 (18.533505730197 yrs)
Last Updated
Mar 17, 2018
License
SP009466 (PA)

Practice Information

Address
62 INDUSTRIAL PARK RD
LAKE ARIEL, PA, 184365606
Browse PA providers · Browse ZIP 18436
Phone
5706897565
Fax
5706894803
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in LAKE ARIEL, PA

Name Credential NPI
DANIEL HARMUTH FNP-BC 1346646114
BRIANNE FRASCELLA CRNP 1407437023
MS. SABRINA ELISE SHANDER CRNP 1336928571
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.