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NPI Code Detail

MEDICARE: LANCASTER GENERAL MEDICAL GROUP

MEDICARE: LANCASTER GENERAL MEDICAL GROUP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1245742618
Entity Type Code : Organization
Provider Name (Legal Business Name) : LANCASTER GENERAL MEDICAL GROUP
Provider Business Mailing Address
First Line : 1030 NEW HOLLAND AVENUE
Second Line : BLDG 12A SUITE 200
City : LANCASTER
State : PA
Zip : 17601-5690
Country : US
Telephone Number : 717-544-7279
Fax Number : 717-544-4296
Provider Business Practice Location Address
First Line : 620 SPEAR ST
Second Line :
City : OXFORD
State : PA
Zip : 19363-1655
Country : US
Telephone Number : 610-932-9300
Fax Number : 610-932-5283
Authorized Official
Title or Position : VP FINANCIAL SERVICES
Name : DENISE A KENNEDY
Credential :
Telephone Number : 717-544-5010
Provider Enumeration Date : 10/25/2017
Last Update Date : 11/16/2020

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Directions to “LANCASTER GENERAL MEDICAL GROUP ” Practice Location

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