Healthcare Provider Details
I. General information
NPI: 1144741901
Provider Name (Legal Business Name): LANASTER GENERAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/03/2017
Last Update Date: 04/25/2025
Certification Date: 04/25/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2100 HARRISBURG PIKE
LANCASTER PA
17601-2644
US
IV. Provider business mailing address
1030 NEW HOLLAND AVENUE BLDG 12A - SUITE 200
LANCASTER PA
17601-5690
US
V. Phone/Fax
- Phone: 717-544-3197
- Fax: 717-544-3171
- Phone: 717-544-7279
- Fax: 717-544-4296
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207LP2900X |
| Taxonomy | Pain Medicine (Anesthesiology) Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
GARY
A
WELCH
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 717-544-5658