| NPI | 1083093686 |
|---|---|
| Doing Business As | WELLSPAN WEIGHT MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | LISSA N. HINCKLE Senior VP Of Physician Services 717-267-4839 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2020-06-24 |