Doctor Name: | LEAH MICHELLE ORTIZ |
NPI Number: | 1043649759 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SP013332 |
Business Practice Address: | 640 E Oregon Rd Lititz, PA - 175439202 |
Business Phone Number: | 7175698773 |
Business Fax Number: | 7175698187 |
Mailing Address: | 640 E Oregon Rd, LITITZ |
State: | PA |
Postal Code: | 175439202 |
Phone Number: | 7175698773 |
Fax Number: | 7175698187 |
NPI Enumeration Date: | 11/03/2013 |
NPI Last Update Date: | 11/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | SP013332 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |