| Contact Information | |
|---|---|
| First Name | Lisa |
| Last Name | Fortunato |
| Address | 1570 Wheatfield Lane |
| City | Warminster |
| State | PA |
| Province | |
| Zip/Postal Code | 18974 |
| Country | United States |
| Work Phone | - |
| Fax | |
| LF-angel@comcast.net | |
| Alternate Email | |
| Website Address | |
| Gender | Female |
| Injury Information | |
| The injured person is | Child |
| Name of Injured | Michael - Fortunato |
| Date of Injury | 04/28/2004 |
| Type of Injury | Obstetric |