Healthcare Provider Details

I. General information

NPI: 1639119191
Provider Name (Legal Business Name): VIRGINIA M. WRAY DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VIRGINIA M. MEYER

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 01/30/2025
Certification Date: 01/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 HARRISBURG PIKE STE 300
LANCASTER PA
17601-2644
US

IV. Provider business mailing address

2150 HARRISBURG PIKE STE 300
LANCASTER PA
17601-2644
US

V. Phone/Fax

Practice location:
  • Phone: 717-544-2935
  • Fax: 717-544-3935
Mailing address:
  • Phone: 717-250-3224
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS009416L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: