Avalon Primary Care, Pc | |
2160 Lincoln Hwy E Ste 1-a4 Lancaster PA 17602-1150 | |
(717) 899-8113 | |
(717) 617-2476 |
Full Name | Avalon Primary Care, Pc |
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Speciality | Clinic/Center |
Location | 2160 Lincoln Hwy E Ste 1-a4, Lancaster, Pennsylvania |
Authorized Official Name and Position | Louise Ruth Butler (OWNER/PHYSICIAN) |
Authorized Official Contact | 7178998113 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Avalon Primary Care, Pc 2160 Lincoln Hwy E Ste 1-a4 Lancaster PA 17602-1150 Ph: (717) 899-8113 | Avalon Primary Care, Pc 2160 Lincoln Hwy E Ste 1-a4 Lancaster PA 17602-1150 Ph: (717) 899-8113 |
NPI Number | 1023670189 |
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Provider Enumeration Date | 06/28/2019 |
Last Update Date | 06/28/2019 |
Medicare PECOS PAC ID | 7012244189 |
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Medicare Enrollment ID | O20190812003712 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023670189 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Louise R Butler |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548201700 PECOS PAC ID: 6709864499 Enrollment ID: I20040709000507 |
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