Healthcare Provider Details

I. General information

NPI: 1265347454
Provider Name (Legal Business Name): INGRID LIZETH MCNAIR LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 TABLE ROCK RD
GETTYSBURG PA
17325-8552
US

IV. Provider business mailing address

5475 STERLING BRIDGE RD
CHAMBERSBURG PA
17202-7358
US

V. Phone/Fax

Practice location:
  • Phone: 717-375-6019
  • Fax: 877-357-5106
Mailing address:
  • Phone: 717-386-0727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSW144653
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: