Individual provider · NPI-1

Dr. Lielt Kebede Derebew, MD

Hospitalist · Lebanon, PA

NPI number1679077895

StatusActive

Last updated in NPPESSep 13, 2024

Details

NPI: 1679077895
Entity type: Individual (NPI-1)
Name: Dr. Lielt Kebede Derebew
Credential: MD
Sex: Female
Sole proprietor: No
Enumeration date: Mar 21, 2018
Certification date: Sep 13, 2024
Last updated: Sep 13, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
208M00000X	Hospitalist	MD475354	PA	Yes
390200000X	Student in an Organized Health Care Education/Training Program	–	–
207R00000X	Internal Medicine	MD475354	PA

Practice location

252 S 4th St Fl 3
Lebanon, PA 17042-6111

Phone 717-270-4876 · Fax 717-270-3875

Mailing address

601 Memory Ln
York, PA 17402-2231

Phone 717-851-1405

Other practice locations

112 North 7th Street
Wellspan Hospitalists
Chambersburg, PA 17201-1720

Phone 717-217-4300

501 East Main Street
Wellspan Hospitalists
Waynesboro, PA 17268-1726

Phone 717-765-4000

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