Pennsylvania
Department of State
LEE DEFAZIO
Certified Registered Nurse Practitioner
License number
SP009466
Date granted
07/23/2007
Date expires
10/31/2016
Class
Certified Registered Nurse Practitioner
Status
Active
Address
Honesdale PA 18431
palicensing.org
ID 16671841
LAST UPDATED 2026-07-25 19:10:09 UTC
LAST UPDATED 2026-07-25 19:10:09 UTC
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