Healthcare Provider Details

I. General information

NPI: 1841678489
Provider Name (Legal Business Name): DONALD E. GARRISON D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: DON GARRISON D.O.

II. Dates (important events)

Enumeration Date: 05/15/2015
Last Update Date: 06/24/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

252 S 4TH ST
LEBANON PA
17042-6111
US

IV. Provider business mailing address

1799 QUENTIN RD
LEBANON PA
17042-7492
US

V. Phone/Fax

Practice location:
  • Phone: 717-270-7500
  • Fax:
Mailing address:
  • Phone: 707-508-8172
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number101-321
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberO-1128
License Number StateID
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number79888
License Number StateMN
# 4
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number34.015801
License Number StateOH
# 5
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOT016553
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: