Individual provider · Type 1 NPI

Kristen L. Mace-Wease, PA-C

Medical Physician Assistant · Lebanon, PA

NPI number 1043470115 Active

Practice location

1700 S Lincoln Ave
Lebanon, PA 17042-7529

Fax (717) 228-6045

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA053430 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1043470115

Kristen L. Mace-Wease, PA-C's National Provider Identifier is 1043470115, issued on Jun 12, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lebanon, PA. The record was last updated on Feb 19, 2020.