| Penn Medicine Lghp Geriatrics | |
|
212 Willow Lakes Dr. Suite 101 Willow Street PA 17584 | |
| (717) 464-0286 | |
| Not Available |
| Full Name | Penn Medicine Lghp Geriatrics |
|---|---|
| Speciality | Nurse Practitioner - Family |
| Location | 212 Willow Lakes Dr., Willow Street, Pennsylvania |
| Authorized Official Name and Position | Kimberly Brown (PROVIDER COORDINATOR) |
| Authorized Official Contact | 7175441921 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Penn Medicine Lghp Geriatrics 212 Willow Valley Lakes Dr Ste 101 Willow Street PA 17584-9668 Ph: (717) 464-0286 | Penn Medicine Lghp Geriatrics 212 Willow Lakes Dr. Suite 101 Willow Street PA 17584 Ph: (717) 464-0286 |
| NPI Number | 1306213020 |
|---|---|
| Provider Enumeration Date | 08/28/2015 |
| Last Update Date | 09/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306213020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
Lancaster General Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 Willow Valley Lakes Dr, Suite 1900, Willow Street, PA 17584 Phone: 717-517-5350 Fax: 717-517-5351 | |
Lancaster General Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 Willow Valley Lakes Dr, Willow Street, PA 17584 Phone: 717-464-9173 Fax: 717-464-0823 | |
Lancaster Family Medicine Associates, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2850 Willow Street Pike N, Suite A, Willow Street, PA 17584 Phone: 717-464-9430 Fax: 717-464-1680 |