Healthcare Provider Details

I. General information

NPI: 1790741296
Provider Name (Legal Business Name): CHANCE T KAPLAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/24/2006
Last Update Date: 03/10/2022
Certification Date: 03/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

554 NORTH DUKE STREET
LANCASTER PA
17602-2250
US

IV. Provider business mailing address

554 NORTH DUKE STREET
LANCASTER PA
17602-2250
US

V. Phone/Fax

Practice location:
  • Phone: 717-291-5863
  • Fax: 717-392-6915
Mailing address:
  • Phone: 717-291-5863
  • Fax: 717-392-6915

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberMD468607
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: