| Lancaster County Internal Medicine, Inc. | |
|
1725 Oregon Pike # A Suite 104 Lancaster PA 17601-4206 | |
| (717) 397-7066 | |
| (717) 397-7005 |
| Full Name | Lancaster County Internal Medicine, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1725 Oregon Pike # A, Lancaster, Pennsylvania |
| Authorized Official Name and Position | Cindy S Mast (VICE PRESIDENT) |
| Authorized Official Contact | 7173977066 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lancaster County Internal Medicine, Inc. Po Box 309 Willow Street PA 17584-0309 Ph: (717) 397-7066 | Lancaster County Internal Medicine, Inc. 1725 Oregon Pike # A Suite 104 Lancaster PA 17601-4206 Ph: (717) 397-7066 |
| NPI Number | 1548354509 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 01/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548354509 | NPI | - | NPPES |
| 0017314850004 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS-006313L (Pennsylvania) | Primary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | OS-006313L (Pennsylvania) | Secondary |
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