Healthcare Provider Details

I. General information

NPI: 1154418358
Provider Name (Legal Business Name): LANCASTER GENERAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2006
Last Update Date: 04/25/2025
Certification Date: 04/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 N DUKE ST 3RD FLOOR
LANCASTER PA
17602-2374
US

IV. Provider business mailing address

540 N DUKE ST 3RD FLOOR
LANCASTER PA
17602-2374
US

V. Phone/Fax

Practice location:
  • Phone: 717-544-4950
  • Fax: 717-544-5964
Mailing address:
  • Phone: 717-544-4950
  • Fax: 717-544-5964

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number StatePA

VIII. Authorized Official

Name: GARY A WELCH
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 717-544-5658