Pennsylvania
Department of State
LISA M DEDOMENICO
Certified Registered Nurse Practitioner
License number
TP001029G
Date granted
03/31/1986
Date expires
10/31/2016
Class
Certified Registered Nurse Practitioner
Status
Active
Address
Larksville PA 18704
palicensing.org
ID 16669198
LAST UPDATED 2026-06-25 16:05:28 UTC
LAST UPDATED 2026-06-25 16:05:28 UTC
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