Individual
CYNTHIA BRUBAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
734 N FRANKLIN ST, LANCASTER, PA 17602-2176
(717) 295-2323
(717) 295-7294
Mailing address
734 N FRANKLIN ST, LANCASTER, PA 17602-2176
(717) 295-2323
(717) 295-7294
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA00083L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
158841
MDICARE GROUP NUMBER
PA
Enumeration date
07/28/2005
Last updated
06/07/2011
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