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NPI Code Detail

MEDICARE: VICTORIA LEE CRAWFORD PA-C

MEDICARE:   VICTORIA LEE CRAWFORD  PA-C
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
1363A00000XPhysician AssistantC04589MD
2363A00000XPhysician Assistant2023049151MO
3363A00000XPhysician Assistant15-02863KS

General Provider Information

NPI Number : 1780965947
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA LEE CRAWFORD PA-C
Provider Business Mailing Address
First Line : 600 N WOLFE ST
Second Line : HALSTED 600
City : BALTIMORE
State : MD
Zip : 21287-4656
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4000 CAMBRIDGE ST
Second Line :
City : KANSAS CITY
State : KS
Zip : 66160-4656
Country : US
Telephone Number : 913-588-1227
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2011
Last Update Date : 06/06/2025

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Directions to “ VICTORIA LEE CRAWFORD PA-C” Practice Location

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