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General NPI Number Information
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NPI Number | 1104740059
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Entity Type | Organization
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Legal Business Name | LANCASTER GENERAL MEDICAL GROUP
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Dates
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Enumeration Date | 08/05/2026
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Last Update Date | 08/05/2026
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Provider Practice Location Address
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Address Line | 538 N QUEEN ST STE 320
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City | LANCASTER
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State | PA
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Zip | 17603-3046
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Country | US
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Telephone | 717-290-3300
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Fax | 717-290-3301
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Provider Business Mailing Address
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Address Line | 555 N DUKE ST
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City | LANCASTER
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State | PA
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Zip | 17602-2250
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Country | US
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Telephone | 717-544-7279
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Fax | 717-544-4296
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | GARY WELCH
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Credential |
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Telephone | 717-544-5658
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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