Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207ND0101X | MOHS-Micrographic Surgeon | MD427616 | PA |
NPI | 1477554392 |
---|---|
Provider Name | Jeanette Louise Hebel |
First Address | Lancaster, PA 17601-4274 |
Second Address | Lancaster, PA 17601-4274 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2005 |
Last Update Date | 23/11/2016 |