Individual
ANALICIA LEE MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
410 N PRINCE ST, LANCASTER, PA 17603-3010
(717) 560-7917
(717) 560-6452
Mailing address
410 N PRINCE ST, LANCASTER, PA 17603-3010
(717) 560-7917
(717) 560-6452
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
PN303810
PA
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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