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Individual

JESSICA ANNE LORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
625 E KING ST, LANCASTER, PA 17602-3111
(603) 490-2906
Mailing address
155 NORLAWN CIR, LANCASTER, PA 17601-2671
(603) 490-2906

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA061147
PA

Other

Enumeration date
12/17/2020
Last updated
12/17/2020
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