Healthcare Provider Details

I. General information

NPI: 1295842680
Provider Name (Legal Business Name): LANCASTER HMA PHYSICIAN MANAGEMENT INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1575 HIGHLANDS DR SUITE 104
LITITZ PA
17543-7507
US

IV. Provider business mailing address

1575 HIGHLANDS DR SUITE 104
LITITZ PA
17543-7507
US

V. Phone/Fax

Practice location:
  • Phone: 717-625-2427
  • Fax:
Mailing address:
  • Phone: 717-625-2427
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: LEE MEYERS
Title or Position: CEO
Credential:
Phone: 717-391-7092