Individual
MICAH CLAUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2112 HARRISBURG PIKE STE 202, LANCASTER, PA 17601-2644
(717) 869-4600
(717) 544-3501
Mailing address
2112 HARRISBURG PIKE STE 202, LANCASTER, PA 17601-2644
(717) 869-4600
(717) 544-3501
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.200888
LA
363AM0700X
Medical Physician Assistant
Primary
MA059512
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033898600052
—
PA
05
—
1033898600053
—
PA
05
—
2411080
—
LA
01
—
627260KKU
MEDICARE
PA
01
—
MA059512
LICENSE
PA
Enumeration date
09/28/2015
Last updated
03/07/2023
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