| Lancaster Medical Group, Llc | |
|
1786c Columbia Ave Columbia PA 17512-9508 | |
| (717) 684-3663 | |
| Not Available |
| Full Name | Lancaster Medical Group, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1786c Columbia Ave, Columbia, Pennsylvania |
| Authorized Official Name and Position | Dennis Hertz (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 7172918078 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lancaster Medical Group, Llc 1786c Columbia Ave Columbia PA 17512-9508 Ph: (717) 684-3663 | Lancaster Medical Group, Llc 1786c Columbia Ave Columbia PA 17512-9508 Ph: (717) 684-3663 |
| NPI Number | 1346625688 |
|---|---|
| Provider Enumeration Date | 07/28/2015 |
| Last Update Date | 07/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346625688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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