| Lancaster General Medical Group | |
|
405 Main St Landisville PA 17538-1812 | |
| (717) 898-2413 | |
| (717) 898-9142 |
| Full Name | Lancaster General Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 405 Main St, Landisville, Pennsylvania |
| Authorized Official Name and Position | Jerome I Gottlieb (PRESIDENT) |
| Authorized Official Contact | 7175444001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lancaster General Medical Group 405 Main St Landisville PA 17538-1812 Ph: (717) 898-2413 | Lancaster General Medical Group 405 Main St Landisville PA 17538-1812 Ph: (717) 898-2413 |
| NPI Number | 1447231923 |
|---|---|
| Provider Enumeration Date | 11/10/2005 |
| Last Update Date | 08/20/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447231923 | NPI | - | NPPES |
| 676677 | Other | PA | AETNA CAP OFFICE# |
| 3974095 | Other | PA | AETNA HMO |
| 1648901 | Other | PA | HIGHMARK BLUE SHIELD |
| 50041081 | Other | PA | CAPITAL BLUE CROSS |
| 1540390 | Other | PA | GATEWAY HEALTH PLAN |
| 7315670 | Other | PA | AETNA NON-HMO |
| 1007327490136 | Medicaid | PA | |
| CN7614 | Other | PA | RAILROAD MEDICARE |
| S1QE | Other | PA | GEISINGER HEALTH PLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |