| Lisa M Dedomenico, CRNP, MSN | |
|
190 Welles St, Kingston, PA 18704-4968 | |
| (570) 714-1099 | |
| (570) 714-1116 |
| Full Name | Lisa M Dedomenico |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 190 Welles St, Kingston, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184657751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | TP001029G (Pennsylvania) | Secondary |
| 363L00000X | Nurse Practitioner | TP001029G (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa M Dedomenico, CRNP, MSN 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6144 | Lisa M Dedomenico, CRNP, MSN 190 Welles St, Kingston, PA 18704-4968 Ph: (570) 714-1099 |
Matthew Booth, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 480 Pierce St Ste 320, Kingston, PA 18704 Phone: 570-479-1627 | |
Mr. Thomas Mickowski, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 511 Pierce St, Kingston, PA 18704 Phone: 570-243-3300 Fax: 570-338-3993 | |
Anntoinette Romanowski, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 511 Pierce St, Kingston, PA 18704 Phone: 570-243-3300 Fax: 570-338-3993 | |
Angela Luongo, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 382 Pierce St, Kingston, PA 18704 Phone: 570-288-7231 | |
Stephanie Grencavage, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 390 Pierce St, Kingston, PA 18704 Phone: 570-288-3535 | |
Mrs. Glorymardy Cruz, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 511 Pierce St, Kingston, PA 18704 Phone: 570-714-3333 | |
Catherine Champi, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 610 Wyoming Ave, Suite 1, Kingston, PA 18704 Phone: 570-288-5441 Fax: 570-288-9613 |