Individual
FLAVIE LESAGE JUSTAFORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
313 W LIBERTY ST, LANCASTER, PA 17603-2798
(717) 978-3052
Mailing address
313 W LIBERTY ST, LANCASTER, PA 17603-2798
(179) 783-0527
(717) 824-3204
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA053246
PA
Other
Enumeration date
10/04/2007
Last updated
05/05/2025
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