Healthcare Provider Details

I. General information

NPI: 1902888696
Provider Name (Legal Business Name): LANCASTER GASTROENTEROLOGY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2005
Last Update Date: 04/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2112 HARRISBURG PIKE SUITE 202
LANCASTER PA
17601-2644
US

IV. Provider business mailing address

2112 HARRISBURG PIKE SUITE 202
LANCASTER PA
17601-2644
US

V. Phone/Fax

Practice location:
  • Phone: 717-544-3500
  • Fax: 717-544-3568
Mailing address:
  • Phone: 717-544-3500
  • Fax: 717-544-3568

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State

VIII. Authorized Official

Name: PAUL D. ALLEGRETTI
Title or Position: PRESIDENT
Credential: D.O.
Phone: 717-544-3500