Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | MT202921 | PA |
Y | 208600000X | Surgeon | MT202921 | PA |
NPI | 1003161126 |
---|---|
Provider Name | Lindsey Haga |
First Address | Harrisburg, PA 17104-1619 |
Second Address | Harrisburg, PA 17104-1619 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2012 |
Last Update Date | 25/03/2021 |