Healthcare Provider Details

I. General information

NPI: 1720915788
Provider Name (Legal Business Name): CHELSEA SANDRA LENTZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHELSEA SANDRA GANGADEEN

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2350 FREEDOM WAY
YORK PA
17402-8200
US

IV. Provider business mailing address

48 RIDGEWAY DR
YORK PA
17404-5140
US

V. Phone/Fax

Practice location:
  • Phone: 717-812-5120
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number207RG0100X
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: