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NPI Code Detail

MEDICARE: CALLIE LANDIS CPES

MEDICARE: CALLIE LANDIS CPES
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
1374J00000XDoulaPA

General Provider Information

NPI Number : 1598277196
Entity Type Code : Individual
Provider Name (Legal Business Name) : CALLIE LANDIS CPES
Provider Business Mailing Address
First Line : PO BOX 73
Second Line :
City : LAMPETER
State : PA
Zip : 17537-0073
Country : US
Telephone Number : 717-925-0154
Fax Number :
Provider Business Practice Location Address
First Line : 5 CREEKWOOD DR
Second Line :
City : LANCASTER
State : PA
Zip : 17602-1367
Country : US
Telephone Number : 717-925-0154
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2017
Last Update Date : 11/04/2017

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Directions to “ CALLIE LANDIS CPES” Practice Location

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