Healthcare Provider Details
I. General information
NPI: 1467401901
Provider Name (Legal Business Name): WOMEN'S HEALTH CENTER OF LEBANON, LTD
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/10/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
300 WILLOW ST
LEBANON PA
17046-4871
US
IV. Provider business mailing address
300 WILLOW ST
LEBANON PA
17046-4871
US
V. Phone/Fax
- Phone: 717-273-8835
- Fax:
- Phone: 717-273-8835
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VG0400X |
| Taxonomy | Gynecology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VX0000X |
| Taxonomy | Obstetrics Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TRUDI
NOPPENBERGER
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 717-273-8835