NPI | 1831253467 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA R LACORTE Practice Administrator 717-560-3505 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
363LF0000X Nurse Practitioner Family | |
Enumeration Date | 2006-12-20 |
Last Update Date | 2007-12-28 |