Individual
DR. PETER J PRANCKUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
510 N DUKE ST, LANCASTER, PA 17602-2208
(717) 314-9930
(123) 456-7890
Mailing address
510 N DUKE ST, LANCASTER, PA 17602-2208
(717) 314-9930
(123) 456-7890
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD036904L
PA
Other
Enumeration date
02/25/2013
Last updated
02/25/2013
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