| Northern Lancaster County Medical Group | |
|
63 W Church St Stevens PA 17578-9203 | |
| (717) 335-3311 | |
| (717) 335-3315 |
| Full Name | Northern Lancaster County Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 63 W Church St, Stevens, Pennsylvania |
| Authorized Official Name and Position | Cynthia Malizia (VP OF NLCMG) |
| Authorized Official Contact | 7177382280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Lancaster County Medical Group 63 W Church St Stevens PA 17578-9203 Ph: (717) 335-3311 | Northern Lancaster County Medical Group 63 W Church St Stevens PA 17578-9203 Ph: (717) 335-3311 |
| NPI Number | 1285676817 |
|---|---|
| Provider Enumeration Date | 06/11/2006 |
| Last Update Date | 03/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285676817 | NPI | - | NPPES |
| 1013977730005 | Medicaid | PA | |
| 1746265 | Other | PA | BLUE SHIELD |
| DD6938 | Other | PA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 193400000X (Pennsylvania) | Primary |