Individual
CHELSEA DIANE FOUGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1808 COLONIAL VILLAGE LN STE 103, LANCASTER, PA 17601-6709
(717) 391-0172
Mailing address
1013 SHADOWSTONE DR, LANCASTER, PA 17603-9756
(717) 517-2505
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA056265
PA
363AM0700X
Medical Physician Assistant
Primary
MA056265
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA056265
MEDICAL PHYSICIAN ASSISTANT LICENSE
PA
01
—
OA003085
OSTEOPATHIC PHYSICIAN ASSISTANT LICENSE
PA
Enumeration date
08/01/2013
Last updated
03/25/2024
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