Provider Demographics
NPI:1568775807
Name:HARBAUGH, ASHLEY NICOLE (OD)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:NICOLE
Last Name:HARBAUGH
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:2034 LINCOLN HWY E
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17602-3339
Mailing Address - Country:US
Mailing Address - Phone:717-390-8784
Mailing Address - Fax:717-390-9085
Practice Address - Street 1:2034 LINCOLN HWY E
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17602-3339
Practice Address - Country:US
Practice Address - Phone:717-390-8784
Practice Address - Fax:717-390-9085
Is Sole Proprietor?:No
Enumeration Date:2010-07-15
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG002345152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist