| |
51 Peters Rd, Lititz, PA 17543-7685 | |
(717) 626-2167 | |
(717) 626-1915 |
Full Name | |
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Type | Facility |
Speciality | Family Medicine - Sports Medicine |
Location | 51 Peters Rd, Lititz, Pennsylvania |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1427502582 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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51 Peters Rd, Lititz, PA 17543-7685 Ph: (717) 626-2167 | 51 Peters Rd, Lititz, PA 17543-7685 Ph: (717) 626-2167 |