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15 Zimmerman Rd Leola PA 17540-1949 | |
(717) 656-4922 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 15 Zimmerman Rd, Leola, Pennsylvania |
Authorized Official Name and Position | Cynthia Malizia (VP NLCMG) |
Authorized Official Contact | 7177382280 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 398 Brownstown PA 17508-0398 Ph: (717) 859-2038 | 15 Zimmerman Rd Leola PA 17540-1949 Ph: (717) 656-4922 |
NPI Number | 1669414611 |
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Provider Enumeration Date | 06/12/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669414611 | NPI | - | NPPES |
2412011000 | Other | PA | BLUE SHIELD |
7022107 | Other | PA | AETNA |
1538659 | Other | PA | CIGNA |
50051122 | Other | PA | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Leola Chiropractic Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 Holly Dr, Leola, PA 17540 Phone: 717-656-0032 Fax: 717-656-3019 | |