Healthcare Provider Details

I. General information

NPI: 1811274202
Provider Name (Legal Business Name): KARA A LAHR CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KARA A TILGHMAN

II. Dates (important events)

Enumeration Date: 11/14/2011
Last Update Date: 10/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 UNIVERSITY DR
HERSHEY PA
17033-2360
US

IV. Provider business mailing address

PO BOX 858 MC A410
HERSHEY PA
17033-0858
US

V. Phone/Fax

Practice location:
  • Phone: 800-243-1455
  • Fax:
Mailing address:
  • Phone: 800-243-1455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0214X
TaxonomyPediatric Pulmonology Physician
License NumberSP011581
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
IdentifierSP011581
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerPA LICENSE NUMBER

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: