| 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 |