Individual
ANA I. VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
625 S DUKE ST, LANCASTER, PA 17602-4509
(717) 299-6372
(717) 399-7655
Mailing address
625 S DUKE ST, LANCASTER, PA 17602-4509
(717) 299-6372
(717) 399-7655
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN259452L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PN259452L
LPN LICENSE #
PA
Enumeration date
03/26/2007
Last updated
07/08/2007
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