Individual
LILY SUMMERS TRASIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1100 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1907
(570) 320-7657
Mailing address
346 HASTINGS ST UNIT 2, SOUTH WILLIAMSPORT, PA 17702-7309
(310) 310-1063
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/25/2024
Last updated
11/20/2024
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