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NPI Code Detail

MEDICARE: LANCASTER UROLOGY PC

MEDICARE: LANCASTER UROLOGY PC
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
1208800000XUrology Physician

General Provider Information

NPI Number : 1902308331
Entity Type Code : Organization
Provider Name (Legal Business Name) : LANCASTER UROLOGY PC
Provider Business Mailing Address
First Line : 2106 HARRISBURG PIKE STE 200
Second Line :
City : LANCASTER
State : PA
Zip : 17601-2644
Country : US
Telephone Number : 717-393-1771
Fax Number : 717-735-3904
Provider Business Practice Location Address
First Line : 1510 CORNWALL RD
Second Line :
City : LEBANON
State : PA
Zip : 17042-7479
Country : US
Telephone Number : 717-723-4579
Fax Number : 717-735-3904
Authorized Official
Title or Position : ADMINISTRATOR
Name : SHELVY FRANK
Credential : RN MS
Telephone Number : 717-723-4579
Provider Enumeration Date : 03/01/2018
Last Update Date : 11/17/2020

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Directions to “LANCASTER UROLOGY PC ” Practice Location

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