Kathleen Weaver

NPI #1801039698 in Lititz, Pennsylvania

Provider Information

NPI Number: 1801039698
Entity Type: Individual
Name: Kathleen Weaver
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Apr 9, 2009
Last Updated: Apr 9, 2009

Practice Location

Address: 400 SAINT LUKE DR
City: Lititz
State: Pennsylvania
ZIP Code: 17543-2208
Phone: (717) 626-6884

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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