Healthcare Provider Details

I. General information

NPI: 1518848894
Provider Name (Legal Business Name): KAREN STEFANY ALEJANDRES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2025
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 N DUKE STREET
LANCASTER PA
17602-2374
US

IV. Provider business mailing address

540 N DUKE STREET
LANCASTER PA
17602-2374
US

V. Phone/Fax

Practice location:
  • Phone: 717-544-6111
  • Fax: 717-544-6115
Mailing address:
  • Phone: 717-544-6111
  • Fax: 717-544-6115

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMA067034
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: