| Lebanon Wellness | |
|
974 Isabel Dr Lebanon PA 17042-7482 | |
| (717) 297-7900 | |
| (717) 276-7323 |
| Full Name | Lebanon Wellness |
|---|---|
| Speciality | Internal Medicine |
| Location | 974 Isabel Dr, Lebanon, Pennsylvania |
| Authorized Official Name and Position | Shavkat Ruziev (OWNER) |
| Authorized Official Contact | 7172977900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lebanon Wellness 974 Isabel Dr Lebanon PA 17042-7482 Ph: (717) 297-7900 | Lebanon Wellness 974 Isabel Dr Lebanon PA 17042-7482 Ph: (717) 297-7900 |
| NPI Number | 1932881489 |
|---|---|
| Provider Enumeration Date | 08/03/2023 |
| Last Update Date | 10/01/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932881489 | NPI | - | NPPES |
| 104547266-0001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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