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1008 Lititz Pike Lititz PA 17543-9328 | |
(717) 627-6074 | |
(717) 627-6915 |
Full Name | |
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Speciality | Clinic/center |
Location | 1008 Lititz Pike, Lititz, Pennsylvania |
Authorized Official Name and Position | Kent E Carr (SR. VP, PHYSICIAN SERVICES) |
Authorized Official Contact | 7175444001 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1008 Lititz Pike Lititz PA 17543-9328 Ph: (717) 627-6074 | 1008 Lititz Pike Lititz PA 17543-9328 Ph: (717) 627-6074 |
NPI Number | 1235460387 |
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Provider Enumeration Date | 01/28/2010 |
Last Update Date | 08/23/2010 |
Identifier | Type | State | Issuer |
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1235460387 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Pennsylvania Institute Of Endocrinology Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1575 Highlands Dr, Suite 206, Lititz, PA 17543 Phone: 717-568-8886 Fax: 717-627-2727 | |