Basic Information
Provider Information
NPI: 1821377227
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: REICH
FirstName: SONIA
MiddleName: LYNN
NamePrefix:  
NameSuffix:  
Credential: CRNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1 HOSPITAL DR
Address2: SUITE 306
City: LEWISBURG
State: PA
PostalCode: 178379350
CountryCode: US
TelephoneNumber: 5705224110
FaxNumber: 5707683911
Practice Location
Address1: 964 CARPENTER RD
Address2:  
City: MILTON
State: PA
PostalCode: 178477527
CountryCode: US
TelephoneNumber: 5707422300
FaxNumber: 5707426276
Other Information
ProviderEnumerationDate: 08/16/2011
LastUpdateDate: 06/09/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/09/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000XSP011523PAY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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