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Brisa Malia Lobb
Family Nurse Practitioner in Philadelphia, Pennsylvania
NPI 1922879097

Brisa Malia Lobb is a Family Nurse Practitioner based in Philadelphia, PA and is specialized in Family. Brisa Malia Lobb practices in Philadelphia, PA. The NPI Number for Brisa Malia Lobb is 1922879097 and holds a License No. SP028980 (Pennsylvania).

The current practice location address for Brisa Malia Lobb is 4428 Pearson Ave, Philadelphia, PA and can be reached out via phone at 610-908-4172.

Location: 4428 Pearson Ave, Philadelphia, PA, 19114-3746
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922879097
Provider Name
Brisa Malia Lobb
Credential
Provider Entity Type
Individual
Gender
Female
Address
4428 Pearson Ave, Philadelphia, PA, 19114-3746
Phone Number
610-908-4172
Fax Number
Provider Enumeration Date
01/09/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4428 Pearson Ave
City
Philadelphia
State
Pennsylvania
Zip
19114-3746
Phone Number
610-908-4172
Fax Number
person
Provider Business Mailing Address Details
Address
4428 Pearson Ave
City
Philadelphia
State
Pennsylvania
Zip
19114-3746
Phone Number
610-908-4172
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
SP028980 (Pennsylvania)
Definition
Definition to come...
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