Healthcare Provider Details

I. General information

NPI: 1588668180
Provider Name (Legal Business Name): LANCASTER PET PARTNERSHIP, LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2005
Last Update Date: 05/20/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 HARRISBURG PIKE
LANCASTER PA
17601-2644
US

IV. Provider business mailing address

PO BOX 4216
LANCASTER PA
17604-4216
US

V. Phone/Fax

Practice location:
  • Phone: 717-544-3030
  • Fax: 717-544-3220
Mailing address:
  • Phone: 717-394-6028
  • Fax: 717-509-6362

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DORI MOWERY
Title or Position: CREDENTIALING SPECIALIST
Credential:
Phone: 717-412-1289