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201 Rock Lititz Blvd Ste 14 Lititz PA 17543-1369 | |
(717) 544-7625 | |
(717) 627-2633 |
Full Name | |
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Speciality | Family Medicine |
Location | 201 Rock Lititz Blvd Ste 14, Lititz, Pennsylvania |
Authorized Official Name and Position | Denise Kennedy (VICE PRESIDENT FINANCIAL SERVICES) |
Authorized Official Contact | 7175445010 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1030 New Holland Avenue Bldg 12a Suite 200 Lancaster PA 17601-5690 Ph: (717) 544-7279 | 201 Rock Lititz Blvd Ste 14 Lititz PA 17543-1369 Ph: (717) 544-7625 |
NPI Number | 1992341200 |
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Provider Enumeration Date | 11/21/2019 |
Last Update Date | 11/16/2020 |
Identifier | Type | State | Issuer |
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1992341200 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (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 | |