Healthcare Provider Details
I. General information
NPI: 1154331775
Provider Name (Legal Business Name): LANCASTER GENERAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/08/2006
Last Update Date: 04/25/2025
Certification Date: 04/25/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
555 N DUKE ST
LANCASTER PA
17602-2250
US
IV. Provider business mailing address
555 N DUKE ST
LANCASTER PA
17602-2250
US
V. Phone/Fax
- Phone: 717-544-5511
- Fax:
- Phone: 717-544-5945
- Fax: 717-544-5944
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2086S0102X |
| Taxonomy | Surgical Critical Care Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2086S0127X |
| Taxonomy | Trauma Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
GARY
A
WELCH
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 717-544-5658