Healthcare Provider Details

I. General information

NPI: 1427117647
Provider Name (Legal Business Name): KHRISTINE M GARCIA OSORIO LBS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KHRISTINE MARIA ARNOLD LBS

II. Dates (important events)

Enumeration Date: 12/06/2006
Last Update Date: 01/24/2024
Certification Date: 01/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 N PRINCE ST
LANCASTER PA
17603-3010
US

IV. Provider business mailing address

410 N PRINCE ST
LANCASTER PA
17603-3010
US

V. Phone/Fax

Practice location:
  • Phone: 717-560-2917
  • Fax: 717-560-6152
Mailing address:
  • Phone: 717-560-2917
  • Fax: 717-560-6452

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBH002430
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: