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Individual

ELIZABETH RAKSZAWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-3828
(717) 531-0793
Mailing address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 243-1455

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA055128
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MA055128
PA STATE LICENSE
PA
Enumeration date
09/08/2011
Last updated
03/07/2023
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