Healthcare Provider Details

I. General information

NPI: 1699202671
Provider Name (Legal Business Name): LANCASTER GENERAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2017
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
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 AVE BLDG 12A
LANCASTER PA
17601-5690
US

V. Phone/Fax

Practice location:
  • Phone: 717-544-3197
  • Fax: 717-544-3171
Mailing address:
  • Phone: 717-544-7279
  • Fax: 717-544-4296

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

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