Most Relevant Information
Provider Data
| NPI Number: | 1003051392 |
| Provider Name: | LISA ROYCE |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | PN275469 |
Most Important Dates
| Enumeration Date: | 12/16/2008 |
| Last Updated: | 12/16/2008 |
Provider Practice Location
2250 HICKORY RD
PLYMOUTH MEETING
PA
194621047
Practice Location Phone/Fax
| Phone: | 6108341122 |
| Fax: |
Provider Mailing Location
20 KEEN RD
SPRING CITY
PA
194752723
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |