John K Derderian, DO
Internal Medicine in Lancaster, PA. Individual provider (NPI-1).
NPI number1477595445
StatusActive
Last updated in NPPESNov 1, 2025
Details
- NPI
- 1477595445
- Entity type
- Individual (NPI-1)
- Name
- John K Derderian
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 12, 2006
- Certification date
- Nov 1, 2025
- Last updated
- Nov 1, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | OS011857 | PA | Yes |
Practice location
555 N Duke StLancaster, PA 17602-2250
Phone 717-544-5511
Mailing address
555 N Duke StLancaster, PA 17602-2250
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