Provider Demographics
NPI:1962706259
Name:DRAGANN, NICHOLAS J JR (DO)
Entity type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:J
Last Name:DRAGANN
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1366 BEACONFIELD LN
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-5343
Mailing Address - Country:US
Mailing Address - Phone:717-299-1566
Mailing Address - Fax:
Practice Address - Street 1:1366 BEACONFIELD LN
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-5343
Practice Address - Country:US
Practice Address - Phone:717-299-1566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-01
Last Update Date:2011-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS3307L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine