Healthcare Provider Details

I. General information

NPI: 1053700567
Provider Name (Legal Business Name): SEAN WARD RD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/21/2015
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 COLLEGE AVE
LANCASTER PA
17603-3363
US

IV. Provider business mailing address

2251 EASTERN BLVD
YORK PA
17402-2917
US

V. Phone/Fax

Practice location:
  • Phone: 717-291-8211
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number1103160
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: