Individual provider · Type 1 NPI

Ashley Lynn Matlack, PA-C

Surgical Physician Assistant · Lancaster, PA

NPI number 1104139153 Active

Practice location

2104 Harrisburg Pike Ste 200
Lancaster, PA 17601-2644

Call (717) 544-3626 Map

Fax (717) 544-3628

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XMA054370 (PA)
Medical Physician Assistant 363AM0700XMA054370 (PA)

Surgical Physician Assistant: Definition to come...

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About NPI 1104139153

Ashley Lynn Matlack, PA-C's National Provider Identifier is 1104139153, issued on Jul 20, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Lancaster, PA. The record was last updated on Aug 16, 2013.