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NPI Code Detail

MEDICARE: NIA GRIGSBY LBS

MEDICARE: NIA GRIGSBY LBS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor270927285PA

General Provider Information

NPI Number : 1144172842
Entity Type Code : Individual
Provider Name (Legal Business Name) : NIA GRIGSBY LBS
Provider Business Mailing Address
First Line : 7540 ALLENTOWN BLVD STE 5
Second Line :
City : HARRISBURG
State : PA
Zip : 17112-4238
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7540 ALLENTOWN BLVD STE 5
Second Line :
City : HARRISBURG
State : PA
Zip : 17112-4238
Country : US
Telephone Number : 223-797-1485
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2026
Last Update Date : 02/13/2026

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