Individual
LYLAH DAWN STARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
36 S RIVER RD, HALIFAX, PA 17032-8614
(717) 827-3428
(717) 827-3437
Mailing address
7 DOCK HILL RD, MIDDLEBURG, PA 17842-8910
(570) 837-2123
(570) 837-2185
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP019205
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1035778050001
—
PA
01
—
713997
MEDICARE
PA
Enumeration date
09/12/2018
Last updated
10/16/2023
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