Provider Demographics
NPI:1679573273
Name:STOKES, LISA K (CRNP)
Entity Type:Individual
Prefix:MS
First Name:LISA
Middle Name:K
Last Name:STOKES
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MS
Other - First Name:LISA
Other - Middle Name:K
Other - Last Name:STOKES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CRNP
Mailing Address - Street 1:423 N 21ST ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-2207
Mailing Address - Country:US
Mailing Address - Phone:717-238-3111
Mailing Address - Fax:717-238-1896
Practice Address - Street 1:4387 STURBRIDGE DR
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110-3673
Practice Address - Country:US
Practice Address - Phone:717-238-3111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-26
Last Update Date:2020-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP001573H363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA50058938OtherCAPITAL BLUE CROSS
PAS61166OtherHEALTHAMERICA
PA13333854OtherHIGHMARK BLUE SHIELD
PA50058938OtherCAPITAL BLUE CROSS