Individual
KRISTA MARIE REISINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1700 S LINCOLN AVE, LEBANON, PA 17042-7529
(717) 272-6621
Mailing address
1700 S LINCOLN AVE, LEBANON, PA 17042-7529
(717) 272-6621
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA052783
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1958673
HIGHMARK BLUE SHIELD
—
01
—
50065627
KEYSTONE HEALTH CENTRAL
—
Enumeration date
11/28/2006
Last updated
12/04/2024
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