Individual
ELISA CASSANDRA SCHUETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
252 S 4TH ST, LEBANON, PA 17042-6111
(717) 270-7500
(717) 228-1642
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 270-7500
(717) 228-1642
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD467387
PA
207L00000X
Anesthesiology Physician
TP850
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000505303
BLUE CROSS
KY
05
—
7100022820
—
KY
Enumeration date
11/15/2006
Last updated
11/02/2022
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