Vicki Lynn Mack M.D.

NPI 1730101254 - Pediatrics - 208000000X

NPI Details
NPI 1730101254
Gender Female
Enumeration Date 07/24/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
125 N ENOLA DR
SUITE 101
ENOLA PA, 17025-2500, US
Phone (717) 732-7171
Fax (717) 732-8872
Business Location
125 N ENOLA DR
SUITE 101
ENOLA PA, 17025-2500, US
Phone (717) 732-7171
Fax (717) 732-8872
Toxanomy
Taxonomy Code 208000000X
License State Pennsylvania
License Number MD067040L
Remove 1730101254 NPI Number
 

According to our database, Dr. Vicki Lynn Mack M.D. NPI is 1730101254, taxonomy code is 208000000X and license number is MD067040L, license state is located at Pennsylvania. Vicki Lynn Mack M.D. physically located at 125 N Enola Dr, Enola PA, 17025-2500. NPI Number Vicki Lynn Mack M.D. has the Individual type.

Sponsored links

1730101254 NPI number is provided on an as is basis without warranty of any kind. 1730101254 is maintained by the National Plan & Provider Enumeration System. The contents of Vicki Lynn Mack M.D. are for informational purposes only.