Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | MD037155E | PA |
NPI | 1215992201 |
---|---|
Provider Name | Leon Kraybill |
First Address | Lancaster, PA 17602-2250 |
Second Address | Lancaster, PA 17601-2644 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2006 |
Last Update Date | 19/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000145776 | UNISON (01) | PA |
000516905 | HIGHMARK BLUE SHIELD (01) | PA |
0011160470005 | (05) | PA |
0111009000 | AMERIHEALTH 65 / IBC (01) | PA |
1417245 | AETNA - HMO (01) | PA |
15640 | GEISINGER HEALTH PLAN (01) | PA |
4662916 | AETNA - NON HMO (01) | PA |
50055984 | CAPITAL BLUE CROSS (01) | PA |
P00053719 | RAILROAD MEDICARE (01) | PA |
P002670 | GATEWAY (01) | PA |