Healthcare Provider Details

I. General information

NPI: 1639396088
Provider Name (Legal Business Name): TERRA L HUSSAR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TERRA LEE SPARKS

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 HARRISBURG PIKE SUITE 200A
LANCASTER PA
17601-2644
US

IV. Provider business mailing address

2150 HARRISBURG PIKE SUITE 200A
LANCASTER PA
17601-2644
US

V. Phone/Fax

Practice location:
  • Phone: 717-396-9167
  • Fax: 717-396-9064
Mailing address:
  • Phone: 717-396-9167
  • Fax: 717-396-9064

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberMD432942
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: