MEDICARE: LANCASTER-LEBANON INTERMEDIATE UNIT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251300000X	Local Education Agency (LEA)		PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538117395
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LANCASTER-LEBANON INTERMEDIATE UNIT

Provider Business Mailing Address
First Line	:	1110 ENTERPRISE RD
Second Line	:
City	:	EAST PETERSBURG
State	:	PA
Zip	:	17520-1604
Country	:	US
Telephone Number	:	717-560-4670
Fax Number	:	717-560-6192

Provider Business Practice Location Address
First Line	:	1110 ENTERPRISE RD
Second Line	:
City	:	EAST PETERSBURG
State	:	PA
Zip	:	17520-1604
Country	:	US
Telephone Number	:	717-560-4670
Fax Number	:	717-560-6192

Authorized Official
Title or Position	:	PROGRAM DIRECTOR
Name	:	MRS. KAREN MAUSNER
Credential	:
Telephone Number	:	717-519-1096

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	11/25/2025

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