Individual provider · Type 1 NPI

Victoria Marie Shupe, PA-C

Medical Physician Assistant · Lebanon, PA

NPI number 1396853099 Active

Practice location

1700 S Lincoln Ave
Lebanon, PA 17042-7529

Call (717) 272-6621 Map

Fax (717) 228-6087

Mailing address

1812 Buckwalter Ln
Lancaster, PA 17602-3696

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA050979 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1396853099

Victoria Marie Shupe, PA-C's National Provider Identifier is 1396853099, issued on Aug 25, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lebanon, PA. The record was last updated on Aug 7, 2025.