| Wellspan Medical Group | |
|
954 Isabel Dr Lebanon PA 17042-7482 | |
| (717) 376-1180 | |
| (717) 273-6937 |
| Full Name | Wellspan Medical Group |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 954 Isabel Dr, Lebanon, Pennsylvania |
| Authorized Official Name and Position | Christina Vest (SUPERVISOR-VERIFICATION SERVICES) |
| Authorized Official Contact | 7178511405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspan Medical Group 3421 Concord Rd York PA 17402-9001 Ph: (717) 851-1405 | Wellspan Medical Group 954 Isabel Dr Lebanon PA 17042-7482 Ph: (717) 376-1180 |
| NPI Number | 1578014007 |
|---|---|
| Provider Enumeration Date | 10/19/2016 |
| Last Update Date | 01/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578014007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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