| Penn Medicine Lghp Diabetes & Endocrinology | |
|
2112 Harrisburg Pike Suite 200 Lancaster PA 17601-2644 | |
| (717) 544-3059 | |
| (717) 544-3638 |
| Full Name | Penn Medicine Lghp Diabetes & Endocrinology |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 2112 Harrisburg Pike, Lancaster, Pennsylvania |
| Authorized Official Name and Position | Denise A Kennedy (VP FINANCIAL SERVICES) |
| Authorized Official Contact | 7175445010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Penn Medicine Lghp Diabetes & Endocrinology 2112 Harrisburg Pike Suite 200 Lancaster PA 17601-2644 Ph: (717) 544-3059 | Penn Medicine Lghp Diabetes & Endocrinology 2112 Harrisburg Pike Suite 200 Lancaster PA 17601-2644 Ph: (717) 544-3059 |
| NPI Number | 1366438590 |
|---|---|
| Provider Enumeration Date | 09/22/2005 |
| Last Update Date | 11/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366438590 | NPI | - | NPPES |
| 1449920 | Other | PA | HIGHMARK BLUE SHIELD |
| 5991102 | Other | PA | AETNA NON-HMO |
| 1007327490102 | Medicaid | PA | |
| 4699 | Other | PA | GEISINGER HEALTH PLAN |
| 1003073 | Other | PA | AMERIHEALTH MERCY HEALTH |
| CD6279 | Other | PA | RAILROAD MEDICARE |
| 116085 | Other | PA | AETNA HMO |
| 50008354 | Other | PA | CAPITAL BLUE CROSS |
| 1529799 | Other | PA | GATEWAY HEALTH PLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
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