Healthcare Provider Details

I. General information

NPI: 1033283205
Provider Name (Legal Business Name): LORNA CHING-CARTER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 10/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

146 E MAIN ST
LEOLA PA
17540-1964
US

IV. Provider business mailing address

146 E MAIN ST
LEOLA PA
17540-1964
US

V. Phone/Fax

Practice location:
  • Phone: 717-656-2141
  • Fax:
Mailing address:
  • Phone: 717-656-2141
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberMA050842
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberOA002114
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: