Individual
LAUREN K REITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
555 N DUKE ST, LANCASTER, PA 17602-2250
(717) 394-6028
Mailing address
PO BOX 4216, LANCASTER, PA 17604-4216
(717) 394-6028
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA057620
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103200080-0003
—
PA
05
—
103200080-0004
—
PA
Enumeration date
07/27/2015
Last updated
04/28/2022
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