Individual provider · Type 1 NPI

Anna Deraco, PA-C

Medical Physician Assistant · Lebanon, PA

NPI number 1639291867 Active

Practice location

300 Willow St
Lebanon, PA 17046-4871

Fax (831) 707-2777

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

13 other providers at this address

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About NPI 1639291867

Anna Deraco, PA-C's National Provider Identifier is 1639291867, issued on Apr 6, 2007. 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 21, 2025.