| Lancaster Cleft Palate Clinic | |
|
223 N Lime St Lancaster PA 17602-2748 | |
| (717) 394-3793 | |
| (717) 396-7409 |
| Full Name | Lancaster Cleft Palate Clinic |
|---|---|
| Speciality | Dentist |
| Location | 223 N Lime St, Lancaster, Pennsylvania |
| Authorized Official Name and Position | Ross Eugene Long (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7173943793 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lancaster Cleft Palate Clinic 223 N Lime St Lancaster PA 17602-2748 Ph: (717) 394-3793 | Lancaster Cleft Palate Clinic 223 N Lime St Lancaster PA 17602-2748 Ph: (717) 394-3793 |
| NPI Number | 1558381897 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9638166192 |
|---|---|
| Medicare Enrollment ID | O20040427001030 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558381897 | NPI | - | NPPES |
| Provider Name | Rachel A Sharnetzka |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1891743167 PECOS PAC ID: 2860416260 Enrollment ID: I20060125000099 |
| Provider Name | Thomas D Samson |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1518942010 PECOS PAC ID: 6901700129 Enrollment ID: I20100827000621 |
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