Search › Pennsylvania › 363LF0000X
Lee Defazio, CRNP
NPI 1346439981 · on the registry since 2007
Practice
- Address
- 62 Industrial Park Rd
Lake Ariel, PA 18436 - Phone
- (570) 689-7565
- Fax
- (570) 689-4803
- Organisation at this address
- Pediatric Practices Of Northeastern Pa
Wayne Memorial Community Health CentersInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Additional practice sites
- 1837 Fair Ave, Honesdale, PA
- 510 Route 6 And 209 Ste 103, Milford, PA
- 27b Woodlands Dr, Waymart, PA
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-03-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania