Provider Demographics
NPI:1477769768
Name:ONGUKA, STEPHANIE SEEK (MD)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:SEEK
Last Name:ONGUKA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 RICHMOND DR
Mailing Address - Street 2:SUITE 107
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-8818
Mailing Address - Country:US
Mailing Address - Phone:717-380-4680
Mailing Address - Fax:717-544-5001
Practice Address - Street 1:605 RICHMOND DR
Practice Address - Street 2:SUITE 107
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-8818
Practice Address - Country:US
Practice Address - Phone:717-380-4680
Practice Address - Fax:717-544-5001
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2017-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD438588207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine