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Ms. Kristen L Mace-wease, PA-C
Medical Physician Assistant in Lebanon, Pennsylvania
NPI 1043470115

Kristen L Mace-wease is a Medical Physician Assistant based in Lebanon, PA and is specialized in Medical. Kristen L Mace-wease practices in Lebanon, PA and has the professional credentials of PA-C. The NPI Number for Kristen L Mace-wease is 1043470115 and holds a License No. MA053430 (Pennsylvania).

The current practice location address for Kristen L Mace-wease is 1700 S Lincoln Ave, Lebanon, PA and can be reached out via phone at 717-272-6621 and via fax at 717-228-6045.

Location: 1700 S Lincoln Ave, Lebanon, PA, 17042-7529
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Provider Profile Details
NPI Number
1043470115
Provider Name
Kristen L Mace-wease
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1700 S Lincoln Ave, Lebanon, PA, 17042-7529
Phone Number
717-272-6621
Fax Number
717-228-6045
Provider Enumeration Date
06/12/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MA053430 01 PA LICENSE
institution
Provider Business Practice Location Address Details
Address
1700 S Lincoln Ave
City
State
Zip
17042-7529
Phone Number
717-272-6621
Fax Number
717-228-6045
person
Provider Business Mailing Address Details
Address
1700 S Lincoln Ave
City
State
Zip
17042-7529
Phone Number
717-272-6621
Fax Number
717-228-6045
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
MA053430 (Pennsylvania)
Definition
Definition to come...
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