| West Cornwall Family Practice, P.c. | |
|
101 Fairview Cir Lebanon PA 17042-9581 | |
| (717) 279-7303 | |
| (717) 279-7471 |
| Full Name | West Cornwall Family Practice, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 101 Fairview Cir, Lebanon, Pennsylvania |
| Authorized Official Name and Position | Carol L Bishop (OFFICE MANAGER) |
| Authorized Official Contact | 7172797303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Cornwall Family Practice, P.c. 101 Fairview Cir Lebanon PA 17042-9581 Ph: (717) 279-7303 | West Cornwall Family Practice, P.c. 101 Fairview Cir Lebanon PA 17042-9581 Ph: (717) 279-7303 |
| NPI Number | 1376505487 |
|---|---|
| Provider Enumeration Date | 04/04/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376505487 | NPI | - | NPPES |
| 1583098 | Other | PA | PA BLUE SHIELD |
| 1519902 | Other | PA | GATEWAY |
| 03202300 | Other | PA | CAPITAL BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Pennsylvania) | Primary |
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