| NPI | 1679779748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRAINE WENTZ BOCK Owner 717-920-9579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA TP-003409-B) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2007-12-07 |