Healthcare Provider Details

I. General information

NPI: 1780840934
Provider Name (Legal Business Name): MARGARET A RIGGS PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2008
Last Update Date: 09/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1655 CROOKED OAK DR
LANCASTER PA
17601-4207
US

IV. Provider business mailing address

1655 CROOKED OAK DR
LANCASTER PA
17601-4207
US

V. Phone/Fax

Practice location:
  • Phone: 717-569-2678
  • Fax: 717-569-1730
Mailing address:
  • Phone: 717-569-2678
  • Fax: 717-569-1730

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMA057349
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number0110002822
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberMA057349
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: