Healthcare Provider Details

I. General information

NPI: 1942826979
Provider Name (Legal Business Name): AARON HACKER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2020
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 NORTH DUKE STREET
LANCASTER PA
17602-2250
US

IV. Provider business mailing address

555 NORTH DUKE STREET
LANCASTER PA
17602-2250
US

V. Phone/Fax

Practice location:
  • Phone: 717-544-4676
  • Fax: 717-544-7157
Mailing address:
  • Phone: 717-544-4676
  • Fax: 717-544-7157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberOS025895
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberOS21345
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: