Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | OS017662 | PA |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | OS017662 | PA |
NPI | 1295981116 |
---|---|
Provider Name | Lauren Beth Witmer |
First Address | Lancaster, PA 17601-2433 |
Second Address | Lancaster, PA 17601-2433 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2008 |
Last Update Date | 05/03/2021 |