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Individual

MS. MEGHAN LYNN FAUST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1251 E MAIN ST, ANNVILLE, PA 17003-1643
(717) 867-4671
(717) 867-4981
Mailing address
409 S 2ND ST, SUITE 2F, HARRISBURG, PA 17104-1612

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA055818
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103158174
PA
Enumeration date
01/29/2013
Last updated
12/19/2020
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