Individual
DR. MARY JAYNE MCILWAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
133 E FREDERICK ST, LANCASTER, PA 17602-2222
(717) 394-9821
(717) 394-0175
Mailing address
133 E FREDERICK ST, LANCASTER, PA 17602-2222
(717) 394-9821
(717) 394-0175
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD451688
PA
390200000X
Student in an Organized Health Care Education/Training Program
165309
NC
Other
Enumeration date
06/16/2010
Last updated
10/22/2014
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