Provider Demographics
NPI:1255520813
Name:DISKANT, LUCY (LOM,LAC, DIPLOM)
Entity type:Individual
Prefix:MISS
First Name:LUCY
Middle Name:
Last Name:DISKANT
Suffix:
Gender:F
Credentials:LOM,LAC, DIPLOM
Other - Prefix:MISS
Other - First Name:LUCY
Other - Middle Name:
Other - Last Name:NERUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LOM, LAC, DIPLOM
Mailing Address - Street 1:380 RED LION RD
Mailing Address - Street 2:STE 204
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-6451
Mailing Address - Country:US
Mailing Address - Phone:215-939-0974
Mailing Address - Fax:267-775-3165
Practice Address - Street 1:380 RED LION RD
Practice Address - Street 2:STE 204
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-6451
Practice Address - Country:US
Practice Address - Phone:215-939-0974
Practice Address - Fax:267-775-3165
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-19
Last Update Date:2014-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11946171100000X
PAOM000140171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist