Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | OS020511 | PA |
NPI | 1487016648 |
---|---|
Provider Name | Dr. Colleen Hazlett-Obrien |
First Address | Lititz, PA 17543-7616 |
Second Address | Lancaster, PA 17601-2426 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2016 |
Last Update Date | 12/04/2021 |