Lian Grow, RN | |
1337 Blue Valley Dr Ste 7, Pen Argyl, PA 18072-1815 | |
(610) 654-1270 | |
Not Available |
Full Name | Lian Grow |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1337 Blue Valley Dr Ste 7, Pen Argyl, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598541518 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN719432 (Pennsylvania) | Secondary |
363LF0000X | Nurse Practitioner - Family | SP031292 (Pennsylvania) | Primary |
Entity Name | Lehigh Valley Physician Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335 |
Mailing Address | Practice Location Address |
---|---|
Lian Grow, RN 25 S Broad St, Nazareth, PA 18064-2255 Ph: () - | Lian Grow, RN 1337 Blue Valley Dr Ste 7, Pen Argyl, PA 18072-1815 Ph: (610) 654-1270 |
Miss Heather Azzalina, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1337 Blue Valley Dr, Pen Argyl, PA 18072 Phone: 610-654-1200 Fax: 610-654-1201 | |
Gabriela Lucia Hogan, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1337 Blue Valley Dr, Pen Argyl, PA 18072 Phone: 610-654-1270 | |
Mr. Jason R Potts, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1337 Blue Valley Dr, Ste 8, Pen Argyl, PA 18072 Phone: 610-654-1230 Fax: 610-654-1232 |