| Functional Health Of Lancaster Llc | |
|
1695 Oregon Pike Lancaster PA 17601 | |
| (717) 490-6227 | |
| (833) 389-1700 |
| Full Name | Functional Health Of Lancaster Llc |
|---|---|
| Speciality | General Practice |
| Location | 1695 Oregon Pike, Lancaster, Pennsylvania |
| Authorized Official Name and Position | Mary E Regan (OWNER/PROVIDER) |
| Authorized Official Contact | 7174689182 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Functional Health Of Lancaster Llc 766 Barr Blvd Lancaster PA 17603-2303 Ph: (717) 468-9182 | Functional Health Of Lancaster Llc 1695 Oregon Pike Lancaster PA 17601 Ph: (717) 490-6227 |
| NPI Number | 1982280319 |
|---|---|
| Provider Enumeration Date | 03/24/2021 |
| Last Update Date | 03/24/2021 |
| Medicare PECOS PAC ID | 0143638221 |
|---|---|
| Medicare Enrollment ID | O20210412000263 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982280319 | NPI | - | NPPES |
| 1134447998 | Other | PA | NPI IS SEARCHABLE BY OTHER INSURERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Mary E Regan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134447998 PECOS PAC ID: 9739219197 Enrollment ID: I20100610000816 |
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