Individual
TAWANA BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2141 OREGON PIKE, LANCASTER, PA 17602-4604
(717) 617-2708
Mailing address
8269 CAMBRIDGE RD CLIFTON HTS, PA 19018, CLIFTON HTS, PA 19018
(267) 288-7394
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN294148
PA
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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