Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD467974 | PA |
NPI | 1003226846 |
---|---|
Provider Name | Dr. Alexandria Olivia Starks |
First Address | Lancaster, PA 17601-4132 |
Second Address | Lancaster, PA 17601-4132 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2014 |
Last Update Date | 15/02/2021 |