Healthcare Provider Details

I. General information

NPI: 1083538227
Provider Name (Legal Business Name): VICTORIA TERESA AVILES LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 E ORANGE ST
LANCASTER PA
17602-2846
US

IV. Provider business mailing address

156 E WALNUT ST APT 2
LANCASTER PA
17602-4940
US

V. Phone/Fax

Practice location:
  • Phone: 717-874-5837
  • Fax: 717-389-4707
Mailing address:
  • Phone: 717-490-3566
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberPN315177
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: