Healthcare Provider Details
I. General information
NPI: 1508293994
Provider Name (Legal Business Name): LANCASTER GENERAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/01/2013
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2102 HARRISBURG PIKE
LANCASTER PA
17601-2644
US
IV. Provider business mailing address
2102 HARRISBURG PIKE
LANCASTER PA
17601-2644
US
V. Phone/Fax
- Phone: 717-544-9400
- Fax: 717-544-9401
- Phone: 717-544-9400
- Fax: 717-544-9401
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Y00000X |
| Taxonomy | Otolaryngology Physician |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | |
| License Number State | NULL |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2086S0122X |
| Taxonomy | Plastic and Reconstructive Surgery Physician |
| License Number | |
| License Number State | NULL |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207LH0002X |
| Taxonomy | Hospice and Palliative Medicine (Anesthesiology) Physician |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
GARY
A
WELCH
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 717-544-5658