Individual provider · NPI-1

Taylor Border

Physician Assistant · Lebanon, PA

NPI number1104790393
StatusActive
Last updated in NPPESOct 1, 2025

Details

NPI
1104790393
Entity type
Individual (NPI-1)
Name
Taylor Border
Sole proprietor
No
Enumeration date
Oct 1, 2025
Certification date
Oct 1, 2025
Last updated
Oct 1, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant––Yes

Practice location

845 Helen Dr
Lebanon, PA 17042-7493

Phone 717-273-8835

Mailing address

35 Justa Rd
Wernersville, PA 19565-9769

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