Healthcare Provider Details

I. General information

NPI: 1669566337
Provider Name (Legal Business Name): LANCASTER GENERAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

694 GOOD DR SUITE 11
LANCASTER PA
17601-2433
US

IV. Provider business mailing address

694 GOOD DR SUITE 11
LANCASTER PA
17601-2433
US

V. Phone/Fax

Practice location:
  • Phone: 717-544-3737
  • Fax: 717-544-3739
Mailing address:
  • Phone: 717-544-3737
  • Fax: 717-544-3739

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

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