MEDICARE: MRS. ERICKA LEA STOOR-BURNING PA-C

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
1	363AM0700X	Medical Physician Assistant	MA053070	PA
2	363A00000X	Physician Assistant	C0010053	MD
3	363A00000X	Physician Assistant	25MP00083500	NJ
4	363A00000X	Physician Assistant	085004536	IL

General Provider Information

NPI Number	:	1659473692
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ERICKA LEA STOOR-BURNING PA-C

Provider Business Mailing Address
First Line	:	3421 CONCORD RD
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17402-9001
Country	:	US
Telephone Number	:	717-339-2875
Fax Number	:	717-334-3921

Provider Business Practice Location Address
First Line	:	455 S WASHINGTON ST STE 12
Second Line	:
City	:	GETTYSBURG
State	:	PA
Zip	:	17325-2516
Country	:	US
Telephone Number	:	717-339-2875
Fax Number	:	717-334-3921

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/01/2006
Last Update Date	:	03/03/2026

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Directions to “ MRS. ERICKA LEA STOOR-BURNING PA-C” Practice Location

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