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NPI Code Detail

MEDICARE: DR. MEGAN ELIZABETH DURHAM MD

MEDICARE: DR. MEGAN ELIZABETH DURHAM MD
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
1390200000XStudent in an Organized Health Care Education/Training Program
2208000000XPediatrics PhysicianMD480185PA

General Provider Information

NPI Number : 1598268658
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MEGAN ELIZABETH DURHAM MD
Provider Business Mailing Address
First Line : 555 N DUKE ST
Second Line :
City : LANCASTER
State : PA
Zip : 17602-2207
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 555 N DUKE ST
Second Line :
City : LANCASTER
State : PA
Zip : 17602-2207
Country : US
Telephone Number : 717-544-5511
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2018
Last Update Date : 09/23/2023

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