Individual
ANNE-MARIE DERRICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
304 N WATER ST, LANCASTER, PA 17603-3374
(717) 299-6371
Mailing address
304 N WATER ST, LANCASTER, PA 17603-3374
(717) 299-6371
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD417665
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000257383
UNISON
PA
01
—
001408780
HIGHMARK
PA
05
—
001957203 0001
—
PA
01
—
1089231
AETNA-HMO
PA
01
—
20043244
MERCY
PA
01
—
2096244000
INDEPENDENCE BLUE CROSS
PA
01
—
261327
HEALTHAMERICA
PA
01
—
50055951
KEYSTONE HEALTH PLAN CENTRAL
PA
01
—
7147679
AETNA-NON HMO
PA
01
—
P00023026
RR MEDICARE
PA
01
—
P004949
GATEWAY
PA
Enumeration date
05/21/2006
Last updated
03/20/2018
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