Individual
DEBRA GORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
233 COLLEGE AVE STE 301, LANCASTER, PA 17603-3372
(717) 291-6752
(717) 291-6751
Mailing address
409 S 2ND ST STE 2F, HARRISBURG, PA 17104-1612
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA051097
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031440610001
—
PA
Enumeration date
08/22/2007
Last updated
01/02/2021
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