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NPI Code Detail

MEDICARE: ELISE KATHRYN BENJAMIN

MEDICARE: ELISE KATHRYN BENJAMIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantMA067607PA

General Provider Information

NPI Number : 1316530041
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELISE KATHRYN BENJAMIN
Provider Business Mailing Address
First Line : 555 N DUKE ST
Second Line :
City : LANCASTER
State : PA
Zip : 17602-2250
Country : US
Telephone Number : 717-544-5511
Fax Number :
Provider Business Practice Location Address
First Line : 555 N DUKE ST
Second Line :
City : LANCASTER
State : PA
Zip : 17602-2250
Country : US
Telephone Number : 717-544-5511
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2021
Last Update Date : 06/07/2026

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Directions to “ ELISE KATHRYN BENJAMIN ” Practice Location

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