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Individual

MICHAEL L DISCAVAGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
625 S DUKE ST, LANCASTER, PA 17602-4509
(717) 299-6371
(717) 397-8881
Mailing address
625 S DUKE ST, LANCASTER, PA 17602-4509
(717) 299-6371
(717) 397-8881

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA001396L
PA

Other

Enumeration date
06/09/2006
Last updated
04/08/2014
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