MEDICARE: DR. VIRGINIA M. WRAY DO

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
1	207Q00000X	Family Medicine Physician	OS009416L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639119191
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VIRGINIA M. WRAY DO

Provider Business Mailing Address
First Line	:	2150 HARRISBURG PIKE STE 300
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17601-2644
Country	:	US
Telephone Number	:	717-250-3224
Fax Number	:

Provider Business Practice Location Address
First Line	:	2150 HARRISBURG PIKE STE 300
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17601-2644
Country	:	US
Telephone Number	:	717-544-2935
Fax Number	:	717-544-3935

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2006
Last Update Date	:	02/05/2026

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