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NPI Code Detail

MEDICARE: MS. LORETTA C. DERRICK

MEDICARE: MS. LORETTA C. DERRICK
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
1367500000XCertified Registered Nurse Anesthetist430076345PA

General Provider Information

NPI Number : 1316932304
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LORETTA C. DERRICK
Provider Business Mailing Address
First Line : 601 MEMORY LN
Second Line :
City : YORK
State : PA
Zip : 17402-2231
Country : US
Telephone Number : 717-851-1405
Fax Number :
Provider Business Practice Location Address
First Line : 1 HOSPITAL DR
Second Line :
City : LEWISBURG
State : PA
Zip : 17837-9350
Country : US
Telephone Number : 570-522-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2005
Last Update Date : 12/08/2025

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Directions to “ MS. LORETTA C. DERRICK ” Practice Location

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