| NPI | 1811023039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRAINE W BOCK Owner 717-443-9970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA TP-003409-B) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |