Individual ProviderLisa DanielsNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address694 Good Dr, Suite 11, Lancaster, PA 17601-2433(717) 544-3737(717) 544-9051PECOS EnrollmentBased on the most recent information from CMS, provider Lisa Daniels is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1982033387Provider TypeIndividualFull NameDaniels, LisaCredentialCRNPGenderFemaleSole ProprietorNoEnumeration Date11/6/2013Last Updated9/22/2017Contact InformationPractice LocationPractice Address694 Good Dr, Suite 11, Lancaster, PA 17601-2433Phone(717) 544-3737Fax(717) 544-3739Mailing LocationMailing Address931 Harrisburg Avenue, Lgh @ F & M Coll Student Well Ctr #9, Lancaster, PA 17603-2652Phone(717) 544-9051Fax(717) 735-9234Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseSP013549PennsylvaniaCode163W00000XDescriptionRegistered NurseNursing Service ProvidersLicenseRN617079Pennsylvania